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Africa 2 Africa Connections Registration

* All inputs marked with an asterisk must be completed.

Name(*)

Please enter the name!

Username(*)

Please provide an username!

Password(*)

Please enter a password!

Verify Password(*)

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E-mail(*)

Please provide a valid e-mail!

Verify E-mail(*)

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Church / Organisation

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Preferred language(*)

English

Afrikaans

French

Please select your preferred language

Payment method(*)

Cash

EFT

Online Payment

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Sector or industry you work in.

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Do you have access to stable internet?(*)

Yes

Please select yes or no

Name 3 top countries you hope to take your job too and be Placed with Purpose.

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Country(*)

Please select your Country

Phone(*)

Please enter a valid contact number

Date of Birth

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