Member Details

Name
Surname	yyyy/mm/dd(include'/')
Date of birth
Idnumber/Passport
Middle Name(s)
Residential Address
	Same as above
Postal Address
Tel Work
Tel Home
Mobile
No of dependants *
	------------------------------------
Email (Username)
Password
Confirm Password

*Dependants are children living with you under 21 as well as your spouse that you want to add to your membership