Registration Form

Your Name *

Email *

Phone Number *

Gender *

—Please choose an option—MaleFemale

Age

Ethnicity *

Nationality *

—Please choose an option—EthiopianDutchOther

Place of Residency / City *

Province of Residence *

How many years have you lived in the Netherlands?

Occupation

Level of Education (Optional)

Language

—Please choose an option—AmharicEnglishDutchOther

Type of Residency

—Please choose an option—Citizen / NationalPermanent ResidentTemporary ResidentRefugeeAsylum SeekerStudent Visa HolderWork Visa Holder

How would you like to join? *

—Please choose an option—As a supporterAs a member

How would you like to support AAN?

I agree to respect and abide by the association’s rules and regulations, to cooperate and work accordingly, and to fulfill all my responsibilities. *

Yes