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Registration
Full Name *
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Sex *
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Date of Birth *
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Single
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Date of Joining SPLM *
Academic Status
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State *
— Select State —
Central Equatoria State
Eastern Equatoria State
Western Equatoria State
Jonglei State
Lakes State
Northern Bahr el Ghazal
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Unity State
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Abyei Special Administrative Area (AAA)
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Ruweng Administrative Area (RAA)
County *
— Select County —
Abiemnhom
Abyei
Akobo
Aweil Centre
Aweil East
Aweil North
Aweil South
Aweil West
Awerial
Ayod
Baliet
Bor South
Budi
Cueibet
Duk
Ezo
Fangak
Fashoda
Gogrial East
Gogrial West
Guit
Ibba
Ikotos
Juba
Jur River
Kajo Keji
Kapoeta East
Kapoeta North
Kapoeta South
Khorflus
Koch
Lainya
Leer
Longochuk
Lopa/Lafon
Luakpiny/Nasir
Maban
Magwi
Maiwut
Malakal
Manyo
Maridi
Mayendit
Mayom
Melut
Morobo
Mundri East
Mundri West
Mvolo
Nagero
Nyirol
Nzara
Panyikang
Pariang
Payinjar
Pibor
Pochalla
Raja
Renk
Rubkona
Rumbek Centre
Rumbek East
Rumbek North
Tambura
Terekeka
Tonj East
Tonj North
Tonj South
Torit
Twic
Twic East
Ulang
Wau
Wulu
Wuror
Yambio
Yei
Yirol East
Yirol West
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.
Requirements:-
Fee: Only Ten Dollars ($10)
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