SPYL - Online Membership Form

SPYL online Membership Form

1) MEMBER DETAILS


First Name		Surname
Other Name(s)		Nationality
Date of Birth		Place of Birth
Residential/Village Address
Gender
Postal Address:		City/Town
If you are residing in Namibia, please select region of residence
Select region
ID Number		Passport Number
Tel(home)		Fax
Cell Number		Email Address

EDUCATION AND ACHIEVEMENTS

2) EDUCATION
2.1) Academic History
Primary Education
Junior Secondary
High School(matric)
Tertiary Qualification

2.2) Skills/Expertise

Skills/Expertise

3) MEMBERSHIP DETAILS
Type of Membership
Member since/Join date
Membership card received
Are you a member of the SWAPO Party
*If you are a member of the SWAPO Party, please provide the date and place where you joined the SWAPO Party?*
Date you joined the SWAPO Party
Place where you joined the SWAPO Party

4) EMPLOYMENT DETAILS

Occupation
Employer
Postal Address
Physical Address
Telephone Number		Fax No:
Email Address

5) POLITICAL HISTORY

Have you ever belonged to any other party apart from SWAPO Party
Have you ever belonged to any other civic organizations critical to policies and programs of SWAPO Party If your answer in both 5.1 and 5.2 is YES explain in detail the nature of your association with such Parties or Organisations and the reasons for leaving them. 5) DECLARATION

NB: Please also email your Passport Photo to: SPYL