BECOME A MEMBER AAPU MEMBERSHIP ONLINE REGISTRATION FORM Male Female Others Central Eastern Western Northern West Nile Membership Terms and Conditions 1. All members shall abide by the Constitution, rules, and regulations governing this Association, which begins with completing the membership application form and fulfilling requirements for membership admission. 2. A one-time, non-refundable application (membership) fee of UGX 20,000= is to be made. 3. Membership annual subscription fee of UGX 50,000= which is payable once every year. 4. Members shall participate in all General meetings and other events organized by the Association. 5. Whenever there is a change in any of the vital information supplied in this form, the member shall notify the Association as soon as possible. 6. It is important for every Association member to maintain records of payment(s) and other related documents, as this would serve as evidence during reconciliations of fees. Data Protection Notice AAPU would like to hold and use your information for the purposes set out below: • To keep me informed of news, activities and events at AAPU • To share my contact details with the Membership follow up team, Training department, Research, Advocacy and communications team so that they can contact me with regards to my experience with AAPU events or activities. Payment Options Bank Details Account number: 01493659481305 Account name: Association of Ambulance Professionals Uganda Bank: DFCU Branch: Ntinda Swift code: DFCUUGKA Merchant Codes Airtel: *185*9# merchant code 1238253 MTN Momo Pay: *165*3# merchant code 625228 Names: Association of Ambulance Professionals Uganda Upload Passport Photo & Signature Attachment By submitting this form, I certify that the information I have provided here is true, complete, and correct to the best of my knowledge and belief. I hereby confirm that I have read and understood the Association's constitution and policies and agree to abide by the terms and conditions therein. Submit form