Member Registration Personal InformationName(Required) First Last Email(Required) Address(Required) Phone Number(Required) Date of Birth(Required) DD slash MM slash YYYY Next of Kin(Required) Gender(Required) Male Female Marital Status(Required) Single Married Divorced Work HistoryPlace Of Work(Required) Staff ID (formal workers) National ID (informal workers) Date of Appointment(Required) DD slash MM slash YYYY Region(Required)Greater AccraAshantiVoltaCentralWesternEasternNorth EastOtiBonoNorthernUpper EastUpper WestDistrict(Required) City / Town / Village(Required) Upload Passport Photo(Required)Accepted file types: jpg, jpeg, png, Max. file size: 3 MB.
