Ralf Membership Form

membership registration form

Sur Name :

Other Names :

Email Address :

Phone Number :

Whatsapp Number :

DOB :

Nationality :

Gender :

Male

Female

Institution :

Year of Graduation :

Course of Study :

Educational Qualfication :

Tell us about your startup :

What stage are you at :

What social problem are you passionate about solving ? :

Why are you passionate about solving this problem :

How many team members do you have :

How did you get to hear about this community :

Why have you decided to join RALF :

Are you a social impact driven entrepreneur with an idea or an already existing startuo company for development in Africa :

Yes