ICTAU Membership Application
ICT Association of Uganda · Registration Form
Student Member
Personal Information
First Name
*
Last Name
*
Phone Number
*
Date of Birth
*
Email Address
*
Academic Details
Institution
*
Course / Programme
*
Documents
Student ID
*
Click to upload
Image or PDF
Passport Photo
*
Click to upload
JPG, PNG · clear face photo
Proof of Payment
*
Click to upload proof of payment
Image or PDF
I confirm that the information provided is accurate and I authorise ICTAU to use it to process my membership application and contact me.
