Name (required)

Emel / Email (required)

Jantina / Gender (required)

No. Telefon / Phone No. (required)

Kelapangan masa / Availability (required)

Alamat 1 / Address 1 (required)

Alamat 2 / Address 2 (required)

Poskod / Poscode (required)

Daerah / District (required)

Saya adalah / I am (required)

Lain-lain nyatakan / Others

Maklumat Pekerja/ Employee Details


Nama Syarikat/ Company Name

Pernahkah anda mengalami sebarang kecatatan fizikal? / Have you suffered from any physical disability? (required)

Kecacatan fizikal (Jika "Ya") / Physical disability (If "Yes")

Maklumat kecemasan yang boleh dihubungi / Emergency contact details

Nama / Name (required)

No. Telefon / Phone No. (required)

Hubungan / Relationship (required)

Bidang yang diminati dalam sukarelawan / Area of interest in volunteering (required)
Recreational activities for childrenRecruiting and training volunteersCancer awareness exhibitionProvide support to patientsFundraisingAdministrative worksCounselingPublic speaking

Lain-lain nyatakan / Others

Kemahiran / Skills (required)
ITGraphic or PhotographyArts and handicraftCounselingMedicalOthers

Lain-lain nyatakan / Others

Cancer does not pick sides and neither do we. 

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