Wassa Amenfi West Old Students' Association
MEMBERSHIP REGISTRATION
SECTION A: STUDENT IDENTIFICATION DETAILS
First Name
Middle Name
Last Name
Gender
Male
Female
Date of Birth
Basic School Attended
Year of Completion
Passport-size Photograph (JPG/PNG, max 3MB)
COMMUNITY DETAILS
How long have you been in Wassa Amenfi West?
Less than 1 year
1-5 years
6-10 years
Over 10 years
Please select one option.
CONTACT INFORMATION
Mobile Phone Number
Emergency Contact Number
WhatsApp Number
Email Address
Home Town
Current Residence
City / Town
Region / State
Country
EMPLOYMENT / FURTHER EDUCATION (Optional)
Current Employment Status
Select status
Employed
Self-employed
Student
Unemployed
Employer / Institution Name
Job Title / Programme of Study
SECTION C: MEMBERSHIP & PARTICIPATION
Participate in group activities (meetups, charity events)?
Yes
No
Occasionally
Please choose one option.
I Agree to contribute a compulsory due amount of ?20 monthly towards group activities.
You must agree before submitting.
Preferred means of communication
Call
WhatsApp
Email
Select at least one.
Please select at least one preferred means of communication.
How did you hear about Wassa Amenfi West Old Students' Association?
Friend/Member
Social Media
Event
Other
Please choose one option.
SECTION D: DECLARATION
I,
Please enter your name.
I hereby apply for membership in Wassa Amenfi West Old Students' Association. I agree to abide by the group's rules, regulations, and code of conduct. I affirm that the information provided is true and accurate.
Date
Please select a date.
SECTION E: FOR ADMIN USE ONLY
Membership ID
Date of Registration
Verified By (Admin Name)
Remarks
Wassa Amenfi West Old Students' Association.
Clear
Submit Registration
Read Terms and Conditions
Terms & Conditions
Registration Received
Thanks for registering; you will be contacted within 24 hours.
