Student Membership
Fill out the form carefully for registration
Student Name
First Name
Middle Name
Last Name
Passport Size Picture
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Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
N/A
Nationality
*
Phone/ WhatsApp Number
Please enter a valid phone number.
Location (Region)
*
Educational Background
Name of Institution
Student E-mail
example@example.com
Student ID
Level Reached
Expected Year of Graduation
Kindly choose at least one of the Social Interest Groups
Social Interest Group
Media and Communication
Research and Production
Mentorship
Engineering and Economy
Women of GhAME
Additional Comments
Declaration
I
blanks
hereby declares that all of the information I have provided is complete and correct.
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