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Membership Application
Fill in the form below to apply for UG membership
Download Blank Membership Form (PDF)
Full Name
*
Email Address
*
Phone Number
Employee ID
Department
Province
-- Select Province --
Central
Copperbelt
Eastern
Luapula
Lusaka
Muchinga
Northern
North-Western
Southern
Western
District
-- Select District --
Ministry
Work Station
NRC Number
Completed Membership Form (PDF, docx jpg )
Max 10 MB. Upload the completed membership form.
Latest Payslip (PDF, docx , jpg)
Max 10 MB. Upload a copy of your latest payslip.
Submit Application