RESIGNATION FORM

Name*
First Last
Mobile No*
Email*
Enter Email Confirm Email
*
P.O Box Town Postal Code
Previous Party Membership No (Not Compuslory)
ID No / Passport No*
Name of the party you are resigning from*
Upload copy of ID (Take a picture with your phone by Clicking on SELECT FILE or scan your ID in PDF then click on Select Files and wait until it completes to 100%)*
Drop files here or
Signature ( Type the initials of your name)*

Save and Continue Later