Membership form - CCGB - Comité Congolais des Grands Barrages

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

First

Last

Civility title

Your date of birth

Please enter the date of birth shown on your identity cards

Place of birth

Your current address

Please upload your diplomas, university certificates, certificates,...

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!

Training/Specialty

Indicate your training and specialities here. (e.g. Civil Engineering / Hydraulics)

Profession

Please state your profession.

Function

Indicate your function (Optional)

Your telephone number

Please indicate your number according to this model (country code)_your number. Example: (+243) 97 10 30.....

Your e-mail address

Statutory Oath

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?

le Profession effectué