TERRAFRICAINE e.V. your social network Join to Terrafricaine aujourd'hui Create an account and fill in the membership file to access your personal space*TitleMmeMrsMr.Please select one option.Please enter valid data.*First Name * First NameFirst Name can not be left blank.Please enter valid data.This first name is invalid. Please enter a valid first name.*Surname * SurnameLast Name can not be left blank.Please enter valid data.This last name is invalid. Please enter a valid last name.*Email Address * Email AddressEmail Address can not be left blank.Please enter valid email address.Please enter valid email address.This email is already registered, please choose another one.*Password * PasswordPassword can not be left blank.Please enter valid data.Please enter at least 6 characters.Please use atleast one lowercase character.Please use atleast one uppercase character.Please use atleast one numeric character.Please use atleast one special character.*Confirm Password * Confirm PasswordConfirm Password can not be left blank.Passwords don't match.Passwords don't match.*Country of origin * Country of originText field can not be left blank.Please enter valid data.*Occupation * OccupationText field can not be left blank.Please enter valid data.*Date of birth * Date of birthPlease select date.Invalid Date.*Place of birth * Place of birthText field can not be left blank.Please enter valid data.*Nationality * NationalityText field can not be left blank.Please enter valid data.*Account owner * Account ownerText field can not be left blank.Please enter valid data.*Bank * BankText field can not be left blank.Please enter valid data.*IBAN * IBANText field can not be left blank.Please enter valid data.*BIC/Swift * BIC/SwiftText field can not be left blank.Please enter valid data.*Direct debit YESNOPlease select one option.Please enter valid data.*Passport number * Passport number Text field can not be left blank.Please enter valid data.*valid until… * valid until…Please select date.Invalid Date.*Issued by * Issued byText field can not be left blank.Please enter valid data.Residence permit till… Residence permit till…Please select date.Invalid Date.Enrolled up to … Enrolled up to …Please select date.Invalid Date.*Country of residence * Country of residenceText field can not be left blank.Please enter valid data.*Zip code * Zip codeText field can not be left blank.Please enter valid data.*City * CityText field can not be left blank.Please enter valid data.Landline LandlineText field can not be left blank.Please enter valid data.*Mobile phone * Mobile phoneText field can not be left blank.Please enter valid data.*1st contact abroad1 * 1st contact abroad1Text field can not be left blank.Please enter valid data.*Phone * PhoneText field can not be left blank.Please enter valid data.*2nd contact abroad * 2nd contact abroadText field can not be left blank.Please enter valid data.*Phone * PhoneText field can not be left blank.Please enter valid data.*Contact in Africa * Contact in AfricaText field can not be left blank.Please enter valid data.*Phone * PhoneText field can not be left blank.Please enter valid data. (1) Abroad mentioned here is synonymous with the place of residence outside of Africa Already have an account? Log in Here By clicking on Sign up, you agree to our Terms of Use and Privacte Policy of TERRAFRICAINE e.V.Sign upcropSkip(Use Cropper to set image and use mouse scroller for zoom image.)