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Candidate Registration

Fields marked with an asterisk (*) are mandatory


User name
 *
Password
 *


Confirm Password
Email
 
What is your contact preference?
 
Cell Phone #
 
First Name
 
Last Name
 
Sex
 
Nationality
 
Date of Birth
 
Namibian ID #
 
Are you a previously disadvantage Namibian?
 *
Permanent Residence #
 
Passport #
 
Are you Fit for Physical Work
 
Disability Status
 
What is your current employment status?
 
Next of Kin’s contact number
 
Physical Address
 *
Town|Village
 
Constituency
 
Region
 
Enter code from image
 *
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Accept terms of use
*
 
 
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