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Registration
Member Registration
Please fill in the form below to register.
Full Name *
Email *
Sex *
Select
Male
Female
Date of Birth *
Marital Status
Select
Single
Married
Divorced
Widowed
Date of Joining SPLM *
Academic Status
Occupation
Are you working?
Yes
No
State *
— Select State —
Central Equatoria State
Eastern Equatoria State
Western Equatoria State
Jonglei State
Lakes State
Northern Bahr el Ghazal
Western Bahr el Ghazal
Unity State
Upper Nile State
Warrap State
Abyei Special Administrative Area (AAA)
Greater Pibor Administrative Area (GPAA)
Ruweng Administrative Area (RAA)
County *
— Select State First —
Payam *
Boma *
Address *
Phone Number *
Membership Status *
Active
Ordinary
Supporter
Sympathizer
Any Previous Political Party? *
Yes
No
Did you or do you believe in SPLM Objectives? *
Yes
No
Are you ready to serve the SPLM at any time you are called upon? *
Yes
No
Upload Photo (Red Background) *
Requirement: Photo background should be color Red.
Type of Member *
Select Member Type
Official
Diaspora
Ordinary
Student
Requirements:-
Fee:
Select Member Type to see fee
Submit Application
