VOLUNTEER FORM 义工登记表

I am 我是 *

Full Name 全名 *
Last 4 characters of NRIC 身份证的最后四个字符 *
Religion 宗教
Nationality 国籍*
Gender 性别*
Address 住址*
Contact Number 电话号码*
Date of birth 出生日期*
Email 电邮
Occupation 职业

Interested to volunteer as 有兴趣参与的义工服务

No interest found

Name of Organisation / Institution *
Number of volunteers *
How did you get to know about us 您是如何认识我们的?*
Name of Centre *
Skillsets 特别技术 / 才能






Others 其他
Commitment 义工服务期
Please tick the box if you are new to volunteering 如果这是您第一次当义工,请在方框中打勾
Please briefly state your past or current volunteer experience 请简要说明之前的义务工作经验
Emergency Contact Name 紧急联络人*
Emergency Contact No 紧急联络号码*
Relationship 关系*

Declaration 宣言

Have you ever been convicted of any criminal offence? 您是否曾经因任何刑事罪行而被判刑? *

If yes, kindly specify 若有, 请明确说明
Do you have any pre-existing medical condition (e.g., disablity / mental health condition)? 您是否有任何现有的医疗状况(例如,残疾/心理健康状况)?*

If yes, kindly specify 若有, 请明确说明
Other Remarks 其他备注

Declaration and Consent 宣言

I understand that Lakeside’s Personal Data Protection Policy Statement is in accordance to the Personal Data Protection Act 2012. I have been informed that the Data Protection Policy is available on Lakeside's website.

我了解,湖畔的《个人数据保护政策声明》符合《 2012年个人数据保护法》。我已获悉,该政策可在湖畔的网站上找到。

CONTACT US

Volunteer Management

Tel: 6265-6522
Email: volunteer@lakeside.org.sg 

Lakeside Family Services (Taman Jurong)
21 Yung Ho Road, #03-01
The Agape, Singapore 618593