Library Registration Form
All fields marked (*) are mandatory.
Personal Information
Provide personal details in the fields below
Surname: *
First name: *
Middle name:
Sex: *
Date of birth: *
MM
/
DD
/
YYYY
Postal Address/Town:
Email: *
Provide your institutional email e.g. yawkwesimensah@st.umat.edu.gh
Telephone number: *
Do you have any electronic device(s)? *
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