*Kindly fill up all fields.
SECTION 01 : ABOUT YOU
Add your photo here :
Name :
Gender :
NRIC no. :
Age :
Marital status :
Occupation :
No. of Children (If any) :
Industry :
Monthly household income :
Contact no. : (HP) (H) (O)
Email : (Primary) (Secondary)
Residential address :
Office address :
What type of property you are living in?
SECTION 02 : YOUR DRIVING BEHAVIOR
Kindly list the names of vehicles that your household currently own (e.g. Nissan Teana)
1 2 3
What is the distance from your home to office (km)?
How many kilometres do you drive in workday?
How many trip do you make in a workday?
(Eg. From home to office = 1 trip; from office to meet client = 2 trips)
How many kilometres do you drive over a weekend?
Do you have covered parking at home?
Do you have covered parking in your office?
What are your interests and hobbies?
Which social network(s) do you have?
SECTION 03 : WHY SHOULD YOU BE THE AMBASSADOR
Show the world how easily one can turnover a new leaf and make Earth a better place to live.

And/or share a video clip with us to enhance your application!
The role of a LEAF Ambassador is to represent Nissan and share good experiences with everyone. The purpose is to enlighten, encourage and inspire the audience about the journey to zero emission. During the full 6 weeks, appointed LEAF Ambassadors will need to share a minimum of 4 exciting stories, be it videos, write-ups, illustrations or photos.
Read & Understand all terms & conditions.
If you've register half way previously, login and edit if not you'll just have to Register.
Fill up e-form & submit a write-up and/or video about why you should be the LEAF Ambassador.