Oral Health Professionals Association of Ghana

Member Registration Form

Please complete all required fields to register as a member

Personal Information Contact Details Membership Information Account Setup

First Name *

Last Name *

Date of Birth *

Gender *

Ghana Card Number *

Profile Image

Email Address *

Phone Number *

Alternative Phone Number

Postal Address

Region *

District *

Residential Address *

Member Type *

AHPC PIN Number *

Your registration number with the Allied Health Professions Council

Membership Number

Will be generated automatically

Membership Status

Will be set to "Pending" by default

Username *

Choose a unique username for your account

Password *

Must be at least 8 characters long

Confirm Password *

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