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PANAFSTRAG Membership Registration Form

Name: _______________________________________ 

Address: _____________________________________

               _____________________________________

Tel/Mobile ___________________ (with WhatsApp) 

Skype Address___________________

E-mail: ______________________________________

Profession/Occupation__________________________

Areas of Interest (Synergy with Global Africa, Global & Regional Intra African Trade, Micro Disarmament in Africa, Security Studies & Management., Conflict Management., Conflict Reconstruction & Development, Humanitarian Intervention, Disarmament and Training.)List below.

i. ___________________

ii. ___________________

iii. __________________ 

 

(Interested in Research/Studies/Advocacy/Activism/Volunteering.) Bolden Choice(s)

Affiliated Institution/Organisation __________________________

 

Programmes/Projects/Activities (Past & Current)

 

Languages Spoken/Written:  ______________________________________________

 

INTERESTED IN FORMING A NATIONAL CHAPTER? Yes/No

 

 __________________________

  Applicant’s Signature

 (Please email form to PANAFSTRAG: panafstraginternational@gmail.com)

 

With Annual Contribution:

Individual              -International USD100 per Annum (Request for payment Mode)

Individual              -National (As per Chapter)

Registration          -Annual.


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