VOLUNTEER REGISTRATION FORM

PERSONAL INFORMATION
Surname in BLOCK Letters:

Given Name in BLOCK Letters:

Home Address:

Nationality:

Contact Details
Home:

NRIC No.:

Date of Birth (dd/mm/yyyy):

Mobile:

Pink / Blue *
Other Identity No. (if applicable):

Race:

Gender:

Email:

Male / Female *
Dependent Pass / Employment Pass /
Student Pass / Work Permit *
Tetanus Vaccination: Yes / No *
If yes, please state date of vaccination:

(DD/MM/YYYY)

EMERGENCY CONTACT
Name:

Relationship:

Address:

Mobile:

I acknowledge and agree that :-

1. during my period of participation as a volunteer, I shall be placed under the charge of the officers who are in charge and shall follow all
reasonable rules governing my safety and behavior. I further agree that SOSD may refuse or terminate my participation as a volunteer at
any time without notice.

2. during my period of participation as a volunteer, I shall not be paid any wages or salary as a volunteer.

3. during my period of participation as a volunteer, I shall inform SOSD of any physical, medical or psychological needs or conditions
which may limit my participation as a volunteer and I have disclosed all such conditions below.

4. during my period of participation as a volunteer, SOSD shall not be held liable for any medical or insurance coverage. I agree that all
inoculations, medical care and medications are my own responsibility and I release SOSD from all responsibility with respect to the
same.

* Please delete accordingly

Page 1 of 2

5. during my period of participation as a volunteer, SOSD shall contact the person stated above in case of an emergency. I accept that
SOSD will do whatever is necessary to ensure that my safety is not compromised in any way. Any first aid or medical treatment provided
by SOSD to me at its expenses shall be discretionary and on a compassionate basis only. No provision of first aid or medical treatment
administered to me shall be tantamount to an admission of liability by SOSD for any injury that I may sustain during my participation as a
volunteer.

6. There are risks and dangers inherent in volunteering with SOSD. I freely assume and fully accept such risks. I hereby waive any rights
to a cause of action or future cause of action I may have against SOSD and its employees, officers, representatives or agents
(Representatives) and release and discharge SOSD and its Representatives from and against all claims, actions, costs, expenses and
liabilities in respect of the foregoing.

7. I shall release, discharge and not hold SOSD or its Representatives liable in any way whatsoever for any loss, bodily injury, mishap,
accident, loss of life and/ or damage to person or property, arising directly or indirectly, as a result of or in connection with my
participation as a volunteer. I also agree to indemnity SOSD from all claims, costs, expenses and liabilities arising out of my actions
while volunteering at SOSD.

Signature of volunteer:

Date:

FOR SOSD OFFICIAL USE ONLY

The Management Committee hereby deems that the application is: Accepted / Rejected *
Representing the SOSD Management Committee
Name:

Position:

Signature:

Date:

* Please delete accordingly

Page 2 of 2