UAT Membership

UAT MEMBERSHIP FORM

ID Number:

Prefered Language:

Name:

Surname:

Gender:

Subscription Type:

Are you a registered voter?

Country of Residence:

Email Address:

Cell No:

Province:

Residential Address:

District Municipality/ Metropolitan:

Postal Code:

Local Municipality:

Location/ City

Ward No:

Tick if Disabled:
Person Living with Disability

University/ College /Tertiary Students:

Telephone(W):

Tick Membership Subscription:
R20 - Annual Fee
R100 - (5) Years Fee

Select the type of payment for your subscription
EFT/Bank Deposit - I will upload the Proof of Payment
Online Payment - I will make immediate payment online
Free Membership - Authorisation Code required

DECLARATION:

I Doer: Declaration is required. solemnly declare my unwavering commitment to the Vision and Objectives of the United Africans Transformation (UAT), as enshrined in the Party’s Constitution and Policy Document. I am joining UAT on my own free will, without coercion, and with no motive formaterial gain or personal advantage. I pledge to respect the Executive Leadership and the Structures of the Party, and to serve as a dedicated and loyal member. I will contribute my energies and skills to the service of the organization, faithfully executing any tasks assigned to me. My commitment is to strengthen UAT as an effective movement for the liberation and advancement of our society. I vow to uphold and defend the unity and integrity of the organization and its Principles, and to actively work against any disruptions or factionalism that may threaten our movement.

ID Number: ID Number is required.	Prefered Language: Language is required.
Name: Name is required.	Surname: Surname is required.
Gender: Gender is required.	Subscription Type: Subscription Type is required.
Are you a registered voter? Response required.	Country of Residence: Country is required.
Email Address: Enter a valid email address.	Cell No: Cell No is required. Enter a valid 10-digit cell number.
Province: Province is required.	Residential Address: Residential Address is required.
District Municipality/ Metropolitan: District Municipality is required.	Postal Code: Enter a valid 4-digit Postal Code.
Local Municipality: Local Municipality is required.	Location/ City Location is required.
Ward No: Ward Number is required.	Tick if Disabled: Person Living with Disability
University/ College /Tertiary Students:	Telephone(W):
Tick Membership Subscription: R20 - Annual Fee R100 - (5) Years Fee	Select the type of payment for your subscription EFT/Bank Deposit - I will upload the Proof of Payment Online Payment - I will make immediate payment online Free Membership - Authorisation Code required

	Online Payment Gateway: Upload Proof of Payment: BANK: Standard Bank; Account Name: UAT; Account No: 000615617; Reference: Membership

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UAT MEMBERSHIP FORM

DECLARATION: