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General Assembly > Registration 1
Personal Information
Country:
Affiliate Political Party/Organization:
First Name:
Middle Name: If no middle name, type in “n/a”
Last Name:
Gender:
Blood Type:
Position in Party/Organization:
If no position, type in “n/a”
Passport No.:
Issue Date:
Expiry Date:
Personal Contact Information (Please include the country code)
Telephone Number: If no telephone number, type in “n/a”
Mobile Number: If no mobile number, type in “n/a”
Fax Number: If no fax number, type in “n/a”
Email Address : This will be your login email address
Registration Code : Please choose 5 to 8 alphanumeric letters
Party/Organization Contact Information
Mailing Address:
Website:
If no website, type in “n/a”
Email Address
If no email address, please indicate office telephone number
Also, after submitting this form, please be sure to check your email for more information on how to complete the registration process.
Notice : Please be sure to fill-out all the categories above.