Type of Membership *IndividualOrganisation

For Individuals

PART 2A – FOR INDIVIDUAL APPLICANTS ONLY

Name of Applicant(Insert name in this order: FIRST NAME – MIDDLE NAMEs – LAST NAME)

Upload Passport Photo(Individual applicants only)

No file chosen

Applicants are requested to provide a copy of the following document to support their application.

Upload Ghana Card (Ecowas ID Card)

No file chosen

GenderMaleFemale

Date of Birth

Nationality

Country of Residence

Economic StatusEmployedUnemployedStudent

Name of school(for students only)

Date of completion

Upload Student ID card(Students Only)

No file chosen

Physical AddressOfficeResidential

Street Name

House number

City/Town

Region/Province/State

GhanaPost Digital Address

Google Map Link

Postal/Mailing Address

Telephone

WhatsApp Contact

Email Address

Briefly describe your work within the culture and creative industry(This is to help us properly classify you under a domain of GCF)

Are you a member of any other network(s)?(If Yes, provide data of 2 of them in the next rows)YesNo

Network Information

Network Name

Network Email Address

Network Phone No.

For Organisations

Part 2B – FOR ASSOCIATION/INSTITUTIONAL APPLICANTS ONLY

Name of Organisation

Applicants are requested to provide a copy of the following document to support their application.

Upload Certificate of Incorporation

No file chosen

Office Address

House number

Street Name

City/Town

Region/Province/State

GhanaPost Digital Address

Google Map Link

Postal/Mailing Address

Telephone

WhatsApp Contact

Email Address

Website

Social Media

X (Twitter)

Facebook

Instagram

IMDb Portfolio

Youtube

TikTok

Briefly describe the work of your organisation within the culture and creative industry(This is to help us properly classify your organisation under a domain of GCF)

Is your organisation a member of any other network(s)?(If Yes, provide data of 2 of them in the next columns)YesNo

Nertwork Information

Network Name

Network Phone No.

Network Email Address

DECLARATION

Part 3 – FOR BOTH INDIVIDUAL AND ASSOCIATION/INSTITUTIONAL APPLICANTS

Name of Declarant *(insert Surname last)

Date of Submission *

Membership Application Form

PART 2A – FOR INDIVIDUAL APPLICANTS ONLY

Part 2B – FOR ASSOCIATION/INSTITUTIONAL APPLICANTS ONLY

CONTACT PERSONS OF INSTITUTIONAL APPLICANTS

Head of Organisation

Secretary

DECLARATION

Part 3 – FOR BOTH INDIVIDUAL AND ASSOCIATION/INSTITUTIONAL APPLICANTS