MEMBERSHIP FORM

For suggestions/enquiries, please contact us at contact@citizenship.gy

Join today and help us answer the urgent call of our nation to represent and rebuild the civic rights of our people. Please complete your details below and submit.

Full Name*

Date of Birth*

Gender*

ID or Passport Number**

Marital Status*

Profession*

Skills to Contribute*

Residence Address*

Area of Voter Registration

What is your Country of Citizenship if different from residence?*

Telephone Number(s)*

E-mail Address*

Photo (optional)

Before clicking Submit Application, please read and accept the following*

I hereby affirm that the information given above is true to the best of my knowledge and information. I am 18 years or older and that I am not a member of another political party or political association. I also verify that I am a citizen of Guyana and/or a Commonwealth country.