Volunteer Registration Form – Muslim Converts' Association of Singapore

Name as in NRIC/FIN/Passport (in BLOCK LETTERS) *

Date of Birth *

Gender *

Male
Female

Citizenship: *

Singapore Citizen
Singapore PR
Others

Please specify here:

Email *

Phone *

Mailing Address *

Postal Code *

Marital Status *

Race *

Religion *

Highest Qualification *

Occupation

Language Proficiency *

Are you a Convert? *

Are you a member of MCAS? *

Voluntary Experience

Service Rendered

Duration

Organization

Service Rendered

Duration

(copy)

(copy) (copy)

Existing Volunteer? *

No
Yes

Please specify which division(s): *

eg. CA / FD / CDD / ED / DAW

Interest Area ( Please Tick Accordingly) *

Preferred Volunteer Time (Please Tick Accordingly) *

Weekdays - Day
Weekdays - Evening
Weekends

Emergency Contact Details (Name) *

Relationship *

Contact No (Home)

Office

Mobile *

PDPA *

I hereby declare that all the entries in this volunteer registration form are true and correct. I authorize the Muslim Converts’ Association of Singapore (MCAS) to disclose my personal information to its employees for administration and record purposes. I further authorize MCAS to send me communications relating to services, events, promotions or newsletters via electronic mail, mobile phone text messages and/or mailers. MCAS represent to, warrant and undertake that collective consents have been obtained allowing MCAS to collect, use, process and disclose the personal data in accordance with the terms and conditions as stated in MCAS Personal Data Protection Policy available on our website.

CONFIDENTIALITY *

I agree to treat all personal information of MCAS clients as confidential (including pictures and videos of clients or events, etc.) and will not collect, use or disclose such information without the permission of the MCAS.

CONFLICT OF INTEREST *

I agree to act in the best interest of the Association and to refrain from engaging in any activity that gives rise to actual, potential or perceived conflicts of interest (including personal, professional or business) with those of the Association. All volunteers are required to observe the highest standard of business ethics.

With regards to my interest to volunteer at Muslim Converts’ Association of Singapore, I have the following potential conflict of interest to report: *

I am affiliated to another Association.
Affiliated to any vendor, supplier, or any other party providing or bidding for providing services, having a direct or indirect interest in any business transaction(s), agreement, investment with Muslim Converts’ Association of Singapore.
Having any business dealing or transaction with a vendor, supplier or any other party which could result in benefit to me.
I or person(s) I have affiliation with have interest in purchasing services from Muslim Converts’ Association of Singapore.
Affiliated to any staff of Muslim Converts’ Association of Singapore.
Affiliated person(s) involved is a party to or have an interest in any pending legal proceedings involving Muslim Converts’ Association of Singapore.
Others

Please specify: *

Please elaborate on the potential conflict arising from the above situation with regards to the transaction concerned (e.g. nature of service/transaction, if affiliated person involved, the identity of the affiliated person and your relationship with that person)

Please select one declaration: *

I hereby confirm that as at the date of submission of this form, the disclosure of potential conflict of interest made above are complete and correct to the best of my information and belief. I shall not be participating in the discussion and decision making of this matter. I agree that if I become aware of any information that might indicate that this disclosure is inaccurate or that I have not complied with the conflict of interest policy; I will notify the Head of Corporate Affairs immediately.
I hereby confirm that as at the date of submission of this form, I have no potential conflict of interest to report. I agree that if I become aware of any information that might indicate that this disclosure is inaccurate or that I have not complied with the conflict of interest policy; I will notify the Head of Corporate Affairs immediately.

OBSERVANCE OF CODE OF CONDUCT *

I further acknowledge that I have read and understand all my obligations and responsibilities under MCAS Volunteer Code of Conduct, as per Annex 1 and agree to abide by them.