Membership Application

Complete all sections below to apply for UG membership

Personal Details

Your basic contact information

Full Name *

Email Address *

Phone Number * Exactly 10 digits — no spaces or dashes

NRC *

Your workplace and assignment information

Department *

Ministry *

Province *

District *

Work Station *

Employee Number *

Details of the person who recruited you

Recruiter Name *

Recruiter Contact *

Upload your signed form and latest payslip

Completed Membership Form *

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Signed membership form

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Latest Payslip

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Most recent pay stub

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