DPC – Dar es Salaam Press Club

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Dar es Salaam Press Club (DPC)

Membership Registration

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MEMBERSHIP INFORMATION

First Name *

Middle Name *

Last Name *

Street Address *

City *

Country *

Nationality *

Email Address *

Phone Number *

Name of Employer (Newspaper/TV/Radio/Blog) *

Position of Work *

Passport Size Photo *

No file chosen

EDUCATION INFORMATION

Primary School *

Secondary School *

Higher Education *

Please Attach The Copies Of Your Academic Transcripts.

Transcript Name *

Upload file (PDF only) *

No file chosen

WORKING EXPERIENCE

Year *

Media Organisation *

Duration (From) *

Duration (To) *

Duties *

MEMBERSHIP TO OTHER BODIES

Body Current Title

Term (From)

Term (To)

REFEREES

First Name *

Last Name *

Media Organisation *

Position *

Phone Number *

Membership Payment

NMB Bank

20110067230 - DAR ES SALAAM CITY PRESS CLUB

Amount Paid *

Date *

Receipt Number *

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Dar es Salaam Press Club (DPC)

Membership Registration

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SPOKEN (A = Excellent, D = Poor)

WRITTEN (A = Excellent, D = Poor)

NMB Bank

20110067230 - DAR ES SALAAM CITY PRESS CLUB