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James Baldwin Information Resource Center Yaounde Membership Form
Completing this form allows you to become a member of the James Baldwin Information Resource Center. As a member, you will have access to eLibraryUSA and enjoy other privileges. All fields marked with * are mandatory.

Veuillez compléter le formulaire ci-après pour avoir accès au Centre de Documentation et de Reférénce James Baldwin. En tant que membre, vous aurez accès à eLibraryUSA et d'autres privilèges. Tous les champs marqués d'un * sont obligatoires.
Last Names/Noms *
First Names/Prénoms *
Gender/Sexe *
Date of Birth/Date de Naissance *
MM/DD/YYYY
Email/Adresse Electronique *
ID Card Number/Numéro de CNI
Nationality/Nationalité
Place of Residence/Residence *
Region/Town/Quarter-Region/Ville/Quatier
Status/Profession *
Name of school/Organization/Institution//Nom de l'Institution/La société *
Telephone/Téléphone *
Areas of interest/ Domaines d'intérêt
Check as many as applicable/Cochez ceux qui s'appliquent
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