Join us

To become a Member of our organization.

please fill out the form below

You May also fill our official form and send it to us by email:

                               eahro.org

Applied for:     European African human rights organization Number:

(EAHRO) Application Form

Date:   European African human rights organization

contact@eahro.org

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THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE.

Section 1         Personal details

Last Name: First Name:
Address:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Letters    Numbers                               Letter

 Phone / Mobile No:                         ID No:
E-mail address:

Section 2         Education

Qualifications obtained from Schools, Colleges and Universities. Please list highest qualification first:
College or University Course Qualifications and grades obtained
School Subjects Qualifications and grades obtained

Professional, Technical or Management Qualifications

Please give details:
Professional/Technical/

Management Qualifications

Course Details
 

 

Membership of any Professional / Technical Associations- Please state level of Membership:

 

Continue on a separate sheet if necessary
What is your Ethnic Group?
A. White                      B. Black                         C.      Mixed                D.I do not wish to provide this information
Gender
Male Female
Disability
Disability is defined as “physical or mental impairment, which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities”.

Do you consider yourself disabled?

Yes

No

If yes, please give details:
For Office Use Only:
Start Date:
Signed: Date:

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