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GHANA NCD ALLIANCE (GhNCDA) MEMBERSHIP APPLICATION FORM

(Please fill this application form and present it to the GhNCDA Secretariat)

B. Personal Details (The Authorized Organizational Representative (AoR)/CEO, President/ Chair)
C. Details of the applying Organization
ANN Annual Membership Fees
1. National NCD Alliance                  2. Associate member

Please note that annual registration amounts are set by the Board. The amount for the year in which you register shall be communicated to you by the Secretariat of the ANN. Your membership will be activated only after payment has been confirmed. Indicate what method of payment will best serve your organization.

Payment Option
1. Pay by Mobile Money Payment Option
2: Bank Transfer Payment Option:
3: international Remit

For all payments, please ensure that GhNCDA membership fee and the name of the member organization are clearly marked on the transfer. Further guidance shall be provided by the Secretariat.
N.B All sending charges are the responsibility of the payee and should be paid at source in addition to the membership fees.