Registration Form for IIUM Student Volunteers / Special Buddies for DSU

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Thank you for your interest to join our team of IIUM Student Volunteers & Special Buddies for the Disability Services Unit (DSU), IIUM. All the information given will be kept confidential and will be used only for the reference of the DSU.

Name *

Matric Number *

Department *

Kuliyyah *

Mahallah *

Mobile phone number *

Email Address *

Do you know anyone with a disability? *

Yes

If your answer is 'Yes', what is your relationship with the person with disability?

Family member

Friend/Acquaintance

Clear selection

What motivates you to be a volunteer for DSU? *

Submit

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