Media Registration Form

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Layout

Title

Enter title

Full Name

First Name | Middle Name | Surname

ZMC Accreditation No#

Passport / Identity Card

Country

Media House Represented

Enter name of Media house / Organisation

Primary Contact Phone

Category

Assignment Dates

For Example 25/06/2024 to 27/06/2024

Upload Passport BIO DATA Page

Click or drag a file to this area to upload.

Upload Passport Bio Data ( .jpg / .png / .jpeg format ONLY). Max size 1MB.

Select event you wish to cover

Upload Passport Size Photo

Click or drag a file to this area to upload.

Insert an up-to-date, color-coded “passport” photo ( .jpg / .png format ONLY ), for your registration to be Approved. The photograph will be used to print the Identification Credential. Max size 1MB.

SPAM Check

Media Registration Form

SADC

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