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Full Name *
Full name must be at least 2 characters
Phone Number *
Enter a valid Ghanaian number (e.g. 0244123456)
Format: 0XXXXXXXXX or +233XXXXXXXXX
Email Address
(Optional)
Please enter a valid email address
Your Username
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Waste Bin Type *
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Residential Address *
Residential address is required
Your Area *
-- Select your area --
Mfoum
Estate
Oxford
Abesewa
Kadadwene / Zongo
Buzagaline
Main market / low cost
Atecham
Dunkwa soro
Atecham police
Please select your area
Areas supplied within Dunkwa-on-Offin municipality
GPS Location *
Capture My Location
Emergency Contact Name
Emergency Contact Phone
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Profile Photo
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JPG, PNG up to 5MB
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