Register

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

Title

Mme

Mrs

Mr.

Please select one option.

Please enter valid data.

First Name

* First Name

First Name can not be left blank.

Please enter valid data.

This first name is invalid. Please enter a valid first name.

Surname

* Surname

Last Name can not be left blank.

Please enter valid data.

This last name is invalid. Please enter a valid last name.

Email Address

* Email Address

Email Address can not be left blank.

Please enter valid email address.

This email is already registered, please choose another one.

Password

* Password

Password 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 Password

Confirm Password can not be left blank.

Passwords don't match.

Country of origin

* Country of origin

Text field can not be left blank.

Please enter valid data.

Occupation

* Occupation

Text field can not be left blank.

Please enter valid data.

Date of birth

* Date of birth

Please select date.

Invalid Date.

Place of birth

* Place of birth

Text field can not be left blank.

Please enter valid data.

Nationality

* Nationality

Text field can not be left blank.

Please enter valid data.

Account owner

* Account owner

Text field can not be left blank.

Please enter valid data.

Bank

* Bank

Text field can not be left blank.

Please enter valid data.

IBAN

* IBAN

Text field can not be left blank.

Please enter valid data.

BIC/Swift

* BIC/Swift

Text field can not be left blank.

Please enter valid data.

Direct debit

YES

Please 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 by

Text field can not be left blank.

Please enter valid data.

Residence permit till…

Please select date.

Invalid Date.

Enrolled up to …

Please select date.

Invalid Date.

Country of residence

* Country of residence

Text field can not be left blank.

Please enter valid data.

Zip code

* Zip code

Text field can not be left blank.

Please enter valid data.

City

* City

Text field can not be left blank.

Please enter valid data.

Landline

Text field can not be left blank.

Please enter valid data.

Mobile phone

* Mobile phone

Text field can not be left blank.

Please enter valid data.

1st contact abroad1

* 1st contact abroad1

Text field can not be left blank.

Please enter valid data.

Phone

* Phone

Text field can not be left blank.

Please enter valid data.

2nd contact abroad

* 2nd contact abroad

Text field can not be left blank.

Please enter valid data.

Phone

* Phone

Text field can not be left blank.

Please enter valid data.

Contact in Africa

* Contact in Africa

Text field can not be left blank.

Please enter valid data.

Phone

* Phone

Text 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.