PPMS Membership Form

Full Name (with Father's Name) *

Gender *

Age

Birth Year (E.C.)

Ethnicity

Upload Photo *

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Max 2MB (JPG/PNG)

Field of Education

3.2 Field of Study

3.3 Other Skills

4.1 Employment Sector

4.2.1 Current Institution

4.2.2 Current Position

4.2.3 Previous Institutions

4.2.4 Years of Service

4.3 Salary

Region

Zone

District/City

Kebele

5.2 Office Phone

Home Phone

Mobile Phone *

Previous Political Party Membership (if any)

1. Previous Collaboration with Government Structures

2. Commitment Statement *

3. Applicant Name *

Signature *

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Or draw below

Date *

Membership Registration Form