Registration Form

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1. APPLICANTS NAME:

First name is
Last name is
Last name is

2. STAGE NAME (IF ANY):

First name is

3. (a) RESIDENCE:

Ghana post address is
Ghana post address is
Email Address is
Email Address is
Email Address is
Email Address is

(b) OFFICE (IF ANY):

Ghana post address is
Ghana post address is
Email Address is
Email Address is
Email Address is
Email Address is

(c) CONTACTS:

First name is
Last name is
Last name is
First name is

4. TAX IDENTIFICATION:

First name is

5. IDENTITY:

Ghana post address is

6. EMPLOYMENT:

Ghana post address is

7. PERSONAL (CONFIDENTIAL):

First name is

Gender:

Ghana post address is

Marital Status:

Ghana post address is

EDUCATION / QUALIFICATION:

Ghana post address is

8. NEXT OF KIN: (I.I. Name & Tel. No.):

First name is
Last 9 digit phone number is

9. AREA OF MUSIC:

No. Musical Instrument Played Sound, Vocal & Others
1.
2.
3.
4.
5.
6.

10. NAME, ADDRESS AND TELEPHONE NUMBERS OF TWO (2) REFERENCES:

REFERER 1. REFERER 2.
NAME:
ADDRESS:
TEL #:

11. DECLARATION:

I request to be registered as a member into ASSOCIATION OF GHANA MUSIC LEGENDS

I HEREBY DECLARE THAT:

ALL The information given in the member’s application form is true and nothing has been concealed. The undersigned undertakes to inform ASSOCIATION OF GHANA MUSIC LEGENDS office of any change in my residence / office address and to provide any further information that the ASSOCIATION OF GHANA MUSIC LEGENDS may require.

The undersigned has been informed of the charges / fee to be levied by ASSOCIATION OF GHANA MUSIC LEGENDS and I agree to pay all necessary levies and fees, documentation charges, etc. As applicable and charged by ASSOCIATION OF GHANA MUSIC LEGENDS. The undersigned hereby agree to be bound by all terms and conditions or by any revised additional terms and conditions which may at any time hereafter be made while the applicant is still a member of the association.

Yours faithfully,

Name of applicant

Name of witness

Note: All columns of the form should be properly filled up and supporting documents duly signed by applicant wherever should be attached, particularly those marked with a *.


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