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First name
Other names
Surname
User Type
---Select Whether Admin or Member---
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Member
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Username
Password
Confirm Password
National ID. number
Payroll number
Gender
---Select your gender---
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Male
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Female
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Intersex
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Phone number
Alternative phone number
Email address
Name of your next of kin
Phone number of your next of kin
Fostership
---Indicate whether you were brought up by foster parent(s)---
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I was brought up by foster parent(s)
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I was NOT brought up by foster parent(s)
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If the foster parent(s) is(are) still alive, please provide their name(s):
Are your parents still alive?
---Select from the options below---
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Both Parents Alive
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One Parent Alive
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Total orphan
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Declaration: I agree to abide by the rules and regulations that govern KNGAWA. I also acknowledge that providing false information will lead to legal culpability as outlined in Penal Code(Cap. 63).
---You must agree to Terms and Conditions to proceed with your registration---
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I agree to the terms and conditions
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