Relief Fund Raising for Typhoon Ketsana and Padang Earthquake Victims

Please kindly fill in your personal particulars and choose the time,date and value you want to volunteer for Fund Raising Event for victims of Typhoon Ketsana and Padang Earthquake.

To assist us in our resource planning, appreciate if you could revert by Friday, 16 Oct 2009, 6 p.m.

* Required

Name *

NRIC/ Fin No. *

Mobile No. *

Email Address *

Faculty and School *

If others, please kindly mention your organization/school.

Date and Time Please choose the days and time you would like to volunteer.

	Shift 1: 10:30 AM - 1:00 PM	Shift 2: 12:30 PM - 3:00 PM	Both Shift 1 & 2
Oct 15 (Thur)
Oct 16 (Fri)
Oct 19 (Mon)
Oct 20 (Tues)
Oct 21 (Wed)
Oct 22 (Thur)
Oct 23 (Fri)

Remark:

Preferred Venue Please choose places within NUS Campus you would prefer to collect donation. For select preferred place, please choose YES. To deselect, please choose NO.

	Yes	No
Engineering Canteen
Engineering LT6
Science Foyer LT26
Central Library Walkway
Central Forum
Business Canteen
Arts Walkway
Arts Canteen
Open to any location

If you have any other preferred locations, please kindly suggest us.

Note:

Please note that we will try our best to accommodate your preferences. However, do note that some of these venues are still subject to confirmation, and your assigned location will be subject to the final decision from the organizing committee to ensure manpower is being evenly spread out.

Thanks for your service - To Lead Is To Serve

Before you press "Submit" button, please check through your preferred date, time and venue. Should you require any amendments, please REFRESH the webpage and complete your particulars and preferences again.