Mendaki Club Website

PART I: PERSONAL PARTICULARS

Name*

NRIC*

Address*

Nationality*

Gender*

Date Of Birth
(DD/MM/YYYY) *

Race*

Select Race Malay Chinese Indian Others Others

Marital Status*

Select Status Single Married Divorced Others Others

Religion*

PART II: CONTACT DETAILS

Email*

Mobile*

Office

Home

(Optional)

PART III: EMPLOYMENT DETAILS

Status

Select Status Working Self-Employed NS Housewife Not Working Student Others:

Designation

Name Of Employer

PART III: FOR STUDENT ONLY - INSTITUITION

Name Of Instituition

Course

Yeas Of Study

PART IV: EDUCATIONAL QUALIFICATIONS

Highest Qualification

Select Status Postgraduate Degree Diploma ITE GCE A Level GCE O Level GCE N Level Other

PART V: VOLUNTEER OPPORTUNITIES

I am interested in....

Mentoring young people (secondary school), through conducting and facilitating personal development programmes

Contributing as speaker / resource persons in my area of work.
Please state profession / industry:

Developing and facilitating programmes for young professional e.g. workshops, talks, seminars

Conducting / designing research projects that will benefit the community

Contributing to the administrative management of the Club such as Media Relations, IT / Website Management

Conceptualising and executing a new programme under MClub