DUKE OF EDINBURGH’S INTERNATIONAL AWARD PARTICIPANT REGISTRATION FORM


Please print clearly in CAPITALS or type your details in. You must complete all of the questions.

PERSONAL DETAILS
AWARD LEVEL

When you first sign in to Online Record Book (ORB) you will be asked to record some personal details such as your contact details, ethnicity and personal circumstances along with details of any medical needs you may have. This data is used to enable your Leaders to support you doing your Award program and for the Award’s statistical and reporting purposes. You will always have a ‘prefer not to say’ option.

CONTACT DETAILS
EMERGENCY CONTACT DETAILS
DECLARATION

As a participant The Duke Of Edinburgh’s International Award would like to promise that I will give my full commitment in my efforts to achieve the objectives which set out in philosophy of “The Duke Of Edinburgh’s International Award ". I understand that this participation is voluntary basis for personal development, family, Community and my nation"

CONSENT TO ENROLL FROM PARENT OR GUARDIAN (if applicant is under 18 years old)

I agree to authorize and support my son / daughter to participate in the “The Duke Of Edinburgh’s International Award " related activities. I will ensure my son / daughter will follow all the conditions set by the Award Authority this program". I note that it is my responsibility to check that any activity my son / daughter undertakes for their Award program is appropriately managed and insured, unless the activity is directly managed or organized by their Award Site.

PHOTOGRAPHY/VIDEO RELEASE CONSENT (if applicant is under 18 years old)

I grant The Duke of Edinburgh’s International Award Malaysia (DOE Malaysia) the right to take or use photographs/video of me and my property in connection with completing my DOE Award. I authorize the DOE Malaysia the right to use and publish these photos/video in print and/or electronically with or without my name, for any lawful purpose, including publicity, illustration, adverting, and Web content. I have read and understand the above.