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# New Membership Account

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Branch and Group information

Select Branch:*
Branch is required. Select before submitting
Select Group:*
Group is required. Select before submitting

Individual's information

Full name*
Name is required. Enter before submitting
ID number*
Id number is required. Enter before submitting
Membership number*
Membership number is required. Enter before submitting
Occupation*
Phone number*
Postal address*
postal code*
location*
town*
Passport image
id card
Signature

Next of kin information

Next of kin name*
Relation*
ID number*
Phone number
Location
Town