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Congolese Community Western Cape

Membership Application Form

+243 — You Are Not Alone

Passport Photo

Section 1 — Personal Information

Section 2 — Contact Details

Section 3 — Residential Information

Section 4 — Employment / Education

Volunteer Interests (optional)

Select any areas where you'd like to contribute to the community.

Section 5 — Dependants

List all dependants living with you (children, elderly parents, or others in your care). This section is optional.

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Section 6 — Emergency Contact

Create your account password

You will use this to log in once your membership is approved.

Uppercase, number & special character required

Declaration

I, the undersigned, hereby apply for membership of the Congolese Community Western Cape (CCWC). I confirm that the information provided in this form is true and correct to the best of my knowledge. I agree to abide by the Constitution and By-Laws of the CCWC, to uphold the values and objectives of the community, and to conduct myself in a manner that promotes unity, dignity, and mutual respect among all members.

CCWC — Congolese Community Western Cape