CyberSAFE Ambassador Registration

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CyberSAFE Ambassador Program Registration

* Mandatory field

A. Personal Details

* Name
* Email
* Telephone
* Fax
* Mobile
* State
* Your Age Group
* Driving License
* Driving License Class

B. Current Employment

Organisation
Designation
Designation Since

C. Previous Volunteer Experience

DATE	EVENT	SCOPE

D. Availability

	MORNING	AFTERNOON	EVENING
Weekdays
Weekends / public holidays
Outstation travel

E. Personal Experience and Skills

LANGUGAGE	BASIC	CONVERSATIONAL	FLUENT
Malay
English
Others (Please specify)

SKILL	EXCELLENT	GOOD	AVERAGE
Communication
Public Speaking
Event management
Organisation
Public relations
Others (Please specify)

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