Youth Femata Database Application

First Name*

Middle Name*

Last Name*

Email Address

Date of birth*

Country*

Phone Number +255XXXXX*

Village*

District*

Region*

Gender*

Profile Picture*

Password*

Password confirmation*

Enter the same password as before, for verification.

License type*

Mineral type*

Mining type*

Current operating status*

Nida number*

Nida attachment

Femata id*

Femata id attachment

Academic achievement*

Academic attachment