Membership

Registration Form

Join The Base Ghana First — a patriotic revolution uniting Ghanaians across all regions. Fill in the form below to register as a member.

Registration Received!

Thank you for joining The Base Ghana First. A confirmation email has been sent to you. Our team will be in touch shortly.

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Personal Information

Full Name *

Date of Birth *

Age *

Gender *

Marital Status

No. of Children

Passport Picture (Standard 35mm x 45mm) *

Standard Ghanaian passport size (7:9 aspect ratio) will be automatically cropped.

Contact Details

Email Address

Contact Number *

Residential GPS Address *

Ghana Card Number *

Religion

Christian Muslim Traditionalist Other

Location

Region *

Constituency *

Electoral Area

Polling Station

Education & Employment

Level of Education

Profession / Skill

Employed?

Yes No

Next of Kin (Contact Person)

Full Name *

Relationship *

Contact Number *

Address

Undertaking

By submitting this form, I pledge to be a good standing member of THE BASE GHANA FIRST — upholding its values of integrity, unity, and patriotic service to Ghana.

I agree to the above undertaking

Your information is kept confidential and used only for membership purposes.