Makana United Civic Movement

Membership Registration

Membership Registration Form

First Names

Surname

Email Address

ID Number

Phone Number

Street Number and Name

Ward Number

Voting Station

Have you voted before?

Yes No

Signature

Date

I confirm that the information above is correct, and I consent to MUCM processing my personal information for membership purposes in line with POPIA. I understand that typing my name above constitutes my electronic signature. Read our Privacy Policy.