Sierra Leone Association of Journalists: Membership Application Form

1st Floor, 56 Campbell Street, Freetown, Sierra Leone P.M.B. 724, Website: www.slaj.sl Email: slaj.salone@gmail.com President: +232 76 470288 / +232 30 470288, Secretary-General: +232 76814217
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PERSONAL DATA

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Name of Applicant:
Residential Address:
Address of Institution:
+23212123456

Years of Practice:

To:
(E.g. SWASAL/SLRU/WIMSAL/etc.)
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EDUCATIONAL BACKGROUND

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E.g. Qualification (Degree / Dip. / Cert. / O’Levels / WASSCE
E.g. Qualification (Degree / Dip. / Cert. / O’Levels / WASSCE
E.g. Qualification (Degree / Dip. / Cert. / O’Levels / WASSCE

REFEREES/SPONSORS

1. Name
+23212123456
1. Address
2. Name
+23212123456
2. Address:
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