Enroll for Membership

Membership Application

Fill in your details below. Your application will be reviewed by our membership team, and you'll be notified by email once a decision is made.

Personal Information

First Name*

Middle Name

Last Name*

Date of Birth*

Gender*

Phone Number*

Email Address*

Passport Picture

Passport-style photo on a plain white background, face clearly visible.

Medical Report*

Image or PDF, confirming your disability status.

Academic Information

Index Number*

Programme*

Category of Special Needs*

Level*

Campus*

Year of Admission*

Expected Graduation Year

Contact Information

Residential Address*

Region*

Emergency Contact Name*

Emergency Contact Phone*

Membership Information

Membership Type / Category

I confirm that the information provided is accurate and I agree to the association's membership terms and conditions. I understand my application will be reviewed before my account is activated.