Name in NRIC *
NRIC No. * Community Emergency Response Team
Date of Birth *   (Example: MM/YY)
Sex * Male    Female
Race *
Nationality *
(Singaporean and PR only) 		Singaporean    Singapore PR
Religion *
NS Status * Full Time    NSmen    Exempted    Not Applicable
Contact No(s) *
Home    Office    Hp   
Home Address *
(Note: Please enter the
postal code and click the
magnifying glass icon to
retrieve the address)
Postal code * Click here to retrieve the address.
Floor & Unit No. * -
Block / House No. *
Street Name *
Building Name
Language Spoken * English    Mandarin    Malay    Tamil    Others
Language Written * English    Chinese    Malay    Tamil    Others
Occupation *
Email Address *
Highest Educational
Level Atained *
Pri     Sec     Tertiary     Others    
Emergency Related
Experience / Knowledge /
Skills
(Example; Basic First Aid, Civil Defence Course, etc)
I here by declare that all entries in this volunteer form are true and correct; and consent to disclose my personal       information to the People's Association (PA) and its employees and if necessary, relevant government agencies
      to facilitate my community work with the PA.