JEDO SMP membership form

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This Registration concerns current and former members of DYM Kigali for the purpose of gathering information of all members since 2017, In an effort to improve our movement and the members experience. Please fill in your responses below. None of the information given will be shared without the official consent of the members.

First name *

Surname *

Phone number (with country code) *

Email *

Birth date *

YYYY

Place of Residence (Street number) *

Joint Date *

YYYY

Hobbies *

Membership status *

Current member

Honorable member

Emergency Contact ( Name/ Relationship/ Phone number) *

Skills (Music, guitar, drawing, programming...)

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