Membership

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First Name

Surname

Id Card No

Gender

Home Address

Mobile Number

Telephone Number (Home)

Email Address

Place of Work

Grade

Date of Birth

Nationality

I accept in becoming a member of the Union of Professional Educators - Voice of the workers and agree to observe its regulations as they are and as bay be amended from time to time. I also declare to remain a member until I pay my membership fee due and resign according to statute.