Membership Application to the Liberal Democratic Order
Membership Type:
-- Select --
Individual
Collective / Organizational
Title:
--
Mr.
Mr.a
Dr. (m)
Dr. (m) (f)
Other
Gender:
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Male
Female
Other
Prefer not to say
Full Name:
Date of Birth:
Occupation:
Academic Qualification:
Address:
Phone / WhatsApp:
Email:
Type of Identification Document:
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Identity Card
Passport
Other
ID Document Number:
Voter Card Number (optional):
Are you affiliated with another party?
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Sim
Não
Reasons for Joining:
Do you have a criminal record?
--
Sim
Não
Do you agree with the principles of the Order?
--
Sim
Não
Do you accept the terms and privacy policy?
--
Sim
Não
Profile Photo:
Legal Name of the Organization:
Registration / Foundation Date:
Organization ID Number:
Official Address:
Is it for-profit?
--
Sim
Não
Is it affiliated with another party?
--
Sim
Não
Mission / Vision / Objectives:
Organization Logo:
Legal Representative
Nome:
Position:
Email:
Phone / WhatsApp:
Reasons for Joining:
Do you agree with the principles of the Order?
--
Sim
Não
Do you accept the terms and privacy policy?
--
Sim
Não
Submit Membership Application