membership form Full name * Gender * Male Female Date of birth * Phone Number (WhatsApp Preferred) * Email Address (Optional) LOCATION DETAILS COUNTRY OF RESIDENCE * City/ District POLITICAL ENGAGEMENT Facebook friend / family Community Meeting Media Others Areas you would like to contribute * Community Mobilization Social media and Online Advocacy Youth Engagement Political Education Fundraising Volunteer activities Others VALUES AND COMMITMENT (Do you believe in the unity, sovereignty, and territorial integrity of Somalia?) Yes Yes, Strongly Do you agree to uphold peaceful political participation and democratic values? * Yes No FINAL CONFIRMATION Any message or suggestion for Runsheeg Party leadership? DECLARATION I confirm that the information provided is true and I voluntarily wish to join and support the Runsheeg Political Party. * Submit If you are human, leave this field blank.
