Kem Prihatin Registration Form

Slot(Required)

Price

How did you find out about the volunteer program?

Personal Information

Full Name (as per IC/passport)(Required)

Age(Required)

Please enter a number from 18 to 60.

Registration is open to individuals aged 18 to 60 years. If you are outside this age range and would like to register, please contact us via email or WhatsApp.

Gender(Required)

Male

Female

Nationality(Required)

Malaysia

Non-Malaysia

IC Number(Required)

e.g. 9xxxxx-xx-xxxx

Upload Your IC(Required)

Accepted file types: jpg, jpg, png, png, pdf, pdf, Max. file size: 5 MB.

Country(Required)

Passport Number(Required)

Upload Your Passport(Required)

Accepted file types: jpg, jpg, png, png, pdf, pdf, Max. file size: 5 MB.

Occupation(Required)

Working

Not Working

Student

Other

Working Position

Company Name

Company Address

Name of Institution

Dietary Restriction(Required)

List of food allergies(Required)

Health Information(Required)

No Health Issue

Asthma

Heart Disease

Tuberculosis

Other

Contact Information

Email Address(Required)

Mobile Phone Number(Required)

e.g. (60)12 345 6789

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact

Full Name (as per IC/passport)(Required)

Relationship to you(Required)

Mobile Phone Number(Required)

e.g. (60)12 345 6789

Volunteer Program Package

T-shirt Size Chart
SIZE	SHOULDER	CHEST	SLEEVE	LENGTH
XS	16"	36"	7.5"	26"
S	17"	38"	8.0"	27"
M	18"	40"	8.5"	28"
L	19"	42"	9.0"	29"
XL	20"	44"	9.5"	30"
2XL	21"	46"	10"	31"
3XL	22"	48"	10.5"	32"

*Measurement in Inch

T-Shirt Size(Required)

Total Price

Add On (Donation)

No Donation

I want to donate

Hidden

Donation

RM 1.00

Total

Aditional Notes

We would like to bring to your attention a few important details to ensure a hassle-free experience on your trip.

Before your arrival
Please note that if your flight is delayed before the start of the program and you are unable to follow the big group, you will be required to pay an extra transportation fee (RM 100) to travel to the island. We understand that this is an inconvenience, but it is necessary to maintain the schedule and ensure that everyone arrives on time.

During the last day of the program
We would like to remind you that weather and wave conditions can be unpredictable, and there might be a slight delay upon your arrival to the mainland (3.30 pm at the latest). Therefore, we recommend you buy an evening or nighttime air or bus ticket. This will allow for any unforeseen circumstances and help ensure you are not rushing to catch your transportation.

Please note that we are not responsible for any late arrivals that cause you to miss your flight or bus. We understand this may be disappointing, but we cannot be held liable for any missed connections. We appreciate your understanding in this matter.

DECLARATION & INDEMNITY

Indemnity Form(Required)

Accepted file types: jpg, pdf, docx, doc, Max. file size: 10 MB.

Liability Agreement(Required)

I agree to the terms of the Waiver of Liability and Indemnity Agreement.

I understand and agree that payment made are not refundable at all cost and circumstances. Payment will be used to support the Sea Turtle Conservation Project carried out by Universiti Malaysia Terengganu.

I declare that I am physically fit and able to undertake the night patrols and other physical tasks involved in the Sea Turtle Conservation Project at Redang Island as a volunteer without any special assistance.

I, the undersigned, understand and accept the risks and responsibilities associated with being a volunteer in the Universiti Malaysia Terengganu Sea Turtle Conservation Project. I have read and voluntarily signed the Waiver of Liability and Indemnity Agreement, and further agree that the Organizer has made no other oral representation, statement or inducement other than this written agreement to me.