Membership Registration

Complete the form below. Fields marked required must be filled.

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Personal Details

Firstname * Surname * Place of birth * Date of birth * Branch * Phone no *

Year joined * Voters ID no * Ghana card no * Membership ID * Positions held *

Languages *

FANTE AHANTA NZEMA ENGLISH FRENCH EWE GA DAGOMBA WASA TWI HAUSA DANGME GONJA KUSAAL SISSALI KASEM DAGAARE

Profession *

Leave blank if you do not have proposer details.

Proposer's name Proposer's party ID Proposer's phone no

Photo *

Upload from your device, or tap Take selfie if you cannot pick a file (camera permission is required for the selfie option).

Choose file

Accepted formats: JPG, PNG, WEBP. Upload max: 500KB. Stored image optimized to 150KB max.