APPLICATION FORMS

Membership Form
Membership of the association shall be open to every citizen of Ghana training in Donetsk irrespective of their religion, ethnic group, place of birth, sex , social status, provided that they accept the aims, objectives and principles of the Association.

Name

First

Last

Date of birth*

YYYY

Current Institution*

Programme of Study*

Email

Address
address Line 2 is the continuation of line
1

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Phone Number

###

####

Upload a File*

upload a picture for easy identification

NB>provide any Instant Messenger

eg:Yahoo,Skype,Msn,etc*

PHONE NUMBER(S) IN CASE OF EMERGENCY*

###

####

CONTACT NAME(S), ADDRESS (ES) IN CASE OF EMERGENCY

First

Last

Other contact names in case of emergency

First

Last

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