Online Member Registration

South Sudan Nurses and Midwives Association (SSNAMA)

Membership Registration Form

Fill the below form with accurate details. Ensure you fill all the mandatory fields marked with an asterisx (*)
I hereby apply for membership of the South Sudan Nurses and Midwives Association. I am a:
Section A: Registration Type
Section B: Personal Detail
Location of Origin
Location of Current Residence
Section C: Contact Details
Provide your current contact Details below and place next to your preferred Contact Phone Number