Membership Application Form
The signing of this membership form shall be a distinct acknowledgement of acquiescence with the constitution and regulations of the association,including the association’s Code of Practice, any subsequent amendment thereof,as well as the Rules governing the use of its trade mark.
Type of Membership
Student
Professional
Organization
Full-name of Student / Professional / Contact Person for organizations
*
First Name
Middle Name
Last Name
Head-shot / Passport size photo
*
Browse Files
Upload your picture here in PDF, Word, JPEG or PNG format.
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of
ICT Professional Qualification(s) / Studentship Confirmation Letter
*
Browse Files
Upload your certificate, diploma or degree here in PDF, Word, JPEG or PNG format. (Students must upload a confirmation letter of studentship from their college or university)
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of
Name of Organization
Nature of Organization
Pre-School
Primary School
Colleges
University
Software Company
Hardware Company
Telecomms Company
ICT Hardware/Shop
ICT NGO
Community Organization
Manufacturing Company - ICT
Other (Please Specify Below)
Other
Specify nature of business
Address of Organization
Position / Program
(To be completed by Students or Professionals only)
WhatsApp Mobile Number
E-mail
*
Confirmation Email
Electronic Signature
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Register
Should be Empty: