Wishesland Sibu

Wishesland Member

WishesMember Application Form

Yes, I would like to be a WishesMember!

Name:

I.C. No:

Age:

Date of Birth:

Gender:

Email

Spouse Name:

I.C. No:

Contact (Home):

Handphone:

Address:

Name of children with CP:

Relationship with children:

Children birth certificate/I.C.No:

Children Age:

Current Treatment/Theraphy:

OKU Card No:

I want to be a Member of

Wishesland Sibu

There are two types of membership in Wishesland Sibu:

(1) Parents with cerebral palsy children
(2) Wisheslanders or volunteers

Our membership drives have been carried out through
a number of those awareness campaigns mentioned.

We also work with PDKs and hospitals to encourage parents
to register with Wishesland Sibu as another platform
for their children to get treatment.

Publishing in local newspapers and regular updates on Facebook
is also one way for us to introduce Wishesland Sibu
to the general public.

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