JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RP 2024 Membership Registration
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Date of Application:
*
MM
/
DD
/
YYYY
Surname:
*
Your answer
Full Names (As on Voters Card):
*
Your answer
Voters Card VRN Number (Number Next to signature):
*
Your answer
ID Number:
*
Your answer
Contact Number:
*
Your answer
Email Address (for sending the membership card) (If this is the same as the one provided above, you can ignore this):
Your answer
Town from where you registering from:
*
Your answer
Region from where you registering from:
*
Kunene
Omusati
Oshana
Oshangwena
Oshikoto
Kavango East
Kavango West
Zambezi
Erongo
Otjozondjupa
Omaheke
Khomas
Hardap
||Karas
DONATE TO CHANGE -
If you want to make a difference in Namibia,
then consider DONATING to the Party that
stands up for
YOUR
sovereign rights or become a volunteer
!!
You can donate to:
RP Namibia
Bank Windhoek
Branch: 483872
Current Account: 8039849650
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
