Member Registration

South Sudan Nurses and Midwives Association (SSNAMA)

Membership Registration Form

Fill the below form with accurate details. Ensure you fill all the mandatory fields marked with an asterisx (*)
I hereby apply for membership of the South Sudan Nurses and Midwives Association. I am a:
Section A: Registration Type
Section B: Personal Detail
Location of Origin
Location of Current Residence
Section C: Contact Details
Provide your current contact Details below and place next to your preferred Contact Phone Number