Register to the Foundation
First Name/Baptismal
*
Middle Name
Surname/Family Name
*
Gender
*
Select Gender
Male
Female
Date of Birth
*
Account Details
Phone Number
*
Enter phone number eg. (254) 7**-***-***
Email Address
(Optional but recommended)
Password
*
Password must be at least 8 characters
Confirm Password
*
I already have an account. Take me to the login.
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