Monthly Contributor Registration

Personal Information

Please provide your basic details

Full Name *

CID / Passport Number *

Your 11-digit Citizen ID Number or Passport Number

Email *

Contact Number *

Address Information

Where can we reach you?

Present Address *

Banking Information

Bank account details for monthly deductions

Bank *

Bank Account Number *

Monthly Contribution Amount *

BTN

Minimum Nu. 50 per month

Membership Details

Specify your membership period

Membership Years *

Start Date *

Cannot be in the past

End Date *

Automatically calculated

I declare that the information provided above is true and correct to the best of my knowledge. I understand that monthly deductions will be processed automatically from my bank account starting from the membership start date. *