NRNA CHIBA ELECTION Full Name *Date of Birth *Gender *MaleFemalePhone *Email Address *Street Address *City *State/Province *NRNA Member Number *Identity Document FrontDrag and Drop (or) Choose FilesPlease upload the front of the residence card or passportIdentity Document BackDrag and Drop (or) Choose FilesPlease upload the back of the residence card or passportPosition *CoordinatorVice CoordinatorWomen CoordinatorSecretaryVice SecretaryTreasurerVice TreasurerYouth CoordinatorMembersPlease Select the desire position for upcoming NRNA CHIBA Committe 2023 - 2035Total Payment AmountyenPayment MethodCash PaymentPay Later Submit
