Member Registration | MSF East Africa Association Membership Information Management System

Note! MSF has a right to cancel membership on misinformation grounds.

First Name ^*

Last Name ^*

Email Address (personal /private) ^*

ID/Passport No ^*

Postal Address

Current Residence ^*

Country ^*

Tel

Nationality ^*

Gender ^*

Are you working with MSF ^*

Country of Mission

Mission

For how long have you been / are you working with MSF? (in Years)

Current /Previous MSF section worked with?

What are you? ^*

Medical Member

Non-medical Member

Friend of MSFEAA

Proffession

Preferred Method of Contact

SMS

Both - Email and SMS

Newsletter Opt In

Yes