MEMBERSHIP REGISTRATION FORM

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PLEASE FILL ALL SECTIONS OF THIS FORM IN CAPITAL LETTERS

I hereby apply to be a Member of the France Alumni Ghana Association (FAGA). (Also see Note (b) below).I authorize you to cause my name to be placed on the register of members of the FAGA accordingly.Please find attached below my particulars:

Names:

Prof.

Dr.

Mr.

Mrs.

Ms.

Rev.

Other:

Profession(s)

Current work & Address

Date of Birth

YYYY

Telephone Number (Off/Res)

E-mail

Preferred Contact Address

Name of French Institutions Attended

Programme(s) of study

Level of Education

Undergraduate

Postgraduate

Clear selection

Year of Entry into the institution

Year of Graduation

I herewith enclose my membership registration of 20.00 GHC and above.

NB:

a) Anyone who has ever studied in France qualifies to be a member of the association (FAGA).
b) Membership dues are GHC 50.00 for professionals and GHC 30.00 for students per year.
c) Payment should be made by cash or through Mobile Money to: 027 200 9977 | 0557822483.
COMPLETING THIS FORM YOU ARE HELPING BUILD A CREDIBLE ALUMNI ASSOCIATION DATABASE.

Kindly enclose a copy of your certificate awarded/obtained.

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