CCGB membership form

Please fill in the form below:

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Membership form N°............/............./....................(this field is reserved for the CCGB).

All fields in this form are mandatory. Please take the time to fill them in correctly.

Your first and last name
Please enter the date of birth shown on your identity cards
Click or drag files to this area to upload. You can upload up to 3 files.
We only accept PDF, PNG and JPG files, and their size must not exceed 5MB. And you can only upload 3 files, no more!
Indicate your training and specialities here. (e.g. Civil Engineering / Hydraulics)
Please state your profession.
Indicate your function (Optional)
Please indicate your number according to this model (country code)_your number. Example: (+243) 97 10 30.....
PLEASE IDENTIFY NOTHING BUT YOUR FULL NAME, the final message will be : I, the undersigned ...._your full name_.... I resolutely undertake to comply with the provisions of the Articles of Association and to serve the CCGB with dedication and loyalty.
Have you already paid to become a member?
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