AfIMPP ASSOCIATE MEMBERSHIP FORM

AfIMPP Associate Membership Application Form

Complete the form below to register as an Associate member of the African Institution for Mining Professionals and Practitioners.
Member Number
Only for Admission Officer
1. Personal Information
Upload Your Profile Picture*
Name*

PrefixFirst NameMiddle NameLast Name
Official E-mail address*
name23@example.com
Phone Number*
input phone number
Business Number*
input business number
Date of Birth *

MonthDayYear
Place of Birth*
Enter your place of Birth
Nationality*
Address*

Home Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership Type

StandardPremiumUltimate
Academic Qualification
Name of Institution / Present place of Employment*
Input your Institution/school
Date of Admission*
Specialization*
Input your area of specialization
Certificate Awarded*
Input your Highest Degree / Certification
Year of Award*
What year will you did you acquire that Certificate?
Proof
Upload Certifications or Admission Files(Max:4)*

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Associate Membership Requirement
1. Associate membership is often suitable for early-career professionals or individuals with a keen interest in the mining sector.
2. Associate members may have access to certain resources, events, and networking opportunities within the institution.
3. The application fee is GHS 250 for Associate members and must be paid through any of our payment acccounts including the paystack, Momo or Bank Accounts Directly.
4. The Renewal fee for Associate Membership is GHS 200.
5. Kindly note that the approval for membership is subject to council’s decision.
6. Applications will be processed within seven (7) working days after payment has been made.
7. Members can only have an account on our website after making payment.
Accept the Student Requirements*

I have read, understood, and accepted the rules for membership.
Privacy Policy
Please reach out and read our Privacy Policy (CLICK HERE) in order to understand how your information is used and shared, and check below if you accept the policy.
Accept Policy*

I have read, understood, and accepted the PRIVACY POLICY for membership.
I hereby confirm that all information provided in this application is true and accurate. I understand that any false or misleading information provided may result in the rejection of my application or termination of enrollment if discovered at a later date. I also undersign, in the event of my election to membership of the African Institution of Mining Professionals and Practitioners (AfIMPP), will be governed by the constitution and bye laws as they now are, or as they may hereafter be altered; and that I will advance the objects of the Institution as far as shall be in my power; Provided that, whenever I shall signify in writing to the Council of the Institution that I am desirous of resigning from the Institution, I shall, after the payment of any arrears which may be due by me at that time, be free from this obligation.

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Signature of Applicant
Once you submit your application, you will redirected to make the payment on our website before enrollment.

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AfIMPP Associate Membership Application Form

1. Personal Information

Academic Qualification

Proof

Associate Membership Requirement

Privacy Policy