Membership Registration Form

ID Number *

Names *

Gender*

Phone Number * e.g 0712345678

E-mail address (Optional)

County of Residence / Voting if already a registered voter *

Constituency of Residence / Voting if already a registered voter *

Ward of Residence / Voting if already a registered voter (Optional)

I want to participate in UDA party activities. (Optional)

* I agree to UDA Party’s Terms & Conditions.

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