Ordinary membership registration form

If you would like more information on getting a membership in our organization or the application process, please ask your questions at patrick.baah@cibgh.org

Surname *

Middle Name

First Name *

Your email *

Date of birth *

Day

Month

Year

Eg. 20/07/1990

Gender *

Male

Female

Telephone number *

Name and Address of Employer *

Qualitfication

Education Qualification *

Upload Qualification

Add a new file *

Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf.

Your Address *

Passport Picture *

Files must be less than 2 MB.
Allowed file types: jpg jpeg png.

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Ordinary membership registration form