Register – Ethiopian Veterinary Association

Membership Registration Form

Personal Information

First Name

Middle Name

Last Name

Birth Date

Gender

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Address

Username*

Password*

Confirm Password*

Email Address

Phone Number*

Education & Work Information

Highest Level of Education Complete

Field of Study

Upload DVM File

Current Employment Status

Organization/Company Name

Industry/Field of Work

Current Job Title

Membership Information

Membership Type

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