Register – NATIONAL CROSS BORDER WOMEN TRADERS ASSOCIATION

MEMBERSHIP FORM

Surname *

Other Name *

Age

Date of Birth *

Sex *MaleFemale

Tick type of membership *Border residentNon Border resident

Please Select Your Branch

Ghana Card Number *

Group *

Residential Address *

Tel Number *

GUARANTOR

Landlord or assembly members name

Full Name *

Tel Number *

Ghana Card Number *

Tick Payment *Processing fee

Upload your Passport Size Picture *

No file chosen

Official use only

Group leader Name: .......................................................
Group leader Signature: .........................................................
Signature: ..........................................

....................................................
Secretary

Please attach the following document

1. Copy of your Ghana Card

Mobile Money Payment

0547211884

Please print a copy sign and deliver to your branch office