{"id":5352,"date":"2026-02-03T16:25:03","date_gmt":"2026-02-03T16:25:03","guid":{"rendered":"https:\/\/devs.wordpress.ug\/asou\/?page_id=5352"},"modified":"2026-02-03T17:01:29","modified_gmt":"2026-02-03T17:01:29","slug":"apply-online","status":"publish","type":"page","link":"https:\/\/devs.wordpress.ug\/asou\/apply-online\/","title":{"rendered":"Apply Online"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5352\" class=\"elementor elementor-5352\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-784fdd6 lm-page-header elementor-section-boxed elementor-section-height-default elementor-section-height-default tp-parallax-no\" data-id=\"784fdd6\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;tp_sticky_sec_effect_enable&quot;:false}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div data-aos=\"\" class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-153ffe1\" data-id=\"153ffe1\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;tp_sticky_col_effect_enable&quot;:false}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e6463da elementor-section-boxed elementor-section-height-default elementor-section-height-default tp-parallax-no\" data-id=\"e6463da\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;tp_sticky_sec_effect_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div data-aos=\"\" class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0971b08\" data-id=\"0971b08\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;tp_sticky_col_effect_enable&quot;:false}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-10806fd elementor-widget-tablet__width-initial elementor-widget elementor-widget-elementskit-heading\" data-id=\"10806fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" ><div class=\"ekit-heading elementskit-section-title-wraper text_left   ekit_heading_tablet-   ekit_heading_mobile-\"><h2 class=\"ekit-heading--title elementskit-section-title \">Membership Application<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7cf3e6a elementor-widget elementor-widget-html\" data-id=\"7cf3e6a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav class=\"breadcrumb-wrap\" aria-label=\"Breadcrumb\">\r\n    <ul class=\"breadcrumb\">\r\n      <li class=\"breadcrumb-item\"><a href=\"https:\/\/devs.wordpress.ug\/asou\/\">Home<\/a><\/li>\r\n      <li class=\"breadcrumb-item separator\">\u203a<\/li>\r\n      <li class=\"breadcrumb-item current\">Membership Application<\/li>\r\n    <\/ul>\r\n  <\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div data-aos=\"\" class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-bb75875\" data-id=\"bb75875\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;tp_sticky_col_effect_enable&quot;:false}\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-28c25dd elementor-section-boxed elementor-section-height-default elementor-section-height-default tp-parallax-no\" data-id=\"28c25dd\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;tp_sticky_sec_effect_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div data-aos=\"\" class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b54f998\" data-id=\"b54f998\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;tp_sticky_col_effect_enable&quot;:false}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0f9bf46 elementor-section-boxed elementor-section-height-default elementor-section-height-default tp-parallax-no\" data-id=\"0f9bf46\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;tp_sticky_sec_effect_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div data-aos=\"\" class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-319f927\" data-id=\"319f927\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;tp_sticky_col_effect_enable&quot;:false}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-49621aa elementor-invisible elementor-widget elementor-widget-html\" data-id=\"49621aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"pill-label\">\r\n  <span class=\"dot\"><\/span>\r\n  Membership Form\r\n<\/span>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-489688a elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"489688a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">ASOU New Membership Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3817bb6 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"3817bb6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Thank you for expressing interest to become a member of The Association of Surgery of Uganda. Fill out the form to apply.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56723e4 elementor-widget elementor-widget-elementskit-contact-form7\" data-id=\"56723e4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-contact-form7.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" ><div class=\"ekit-form\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5351-p5352-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"5351\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/asou\/apply-online\/#wpcf7-f5351-p5352-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-no-moving-animation\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"5351\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5351-p5352-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"5352\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"fieldset-cf7mls-wrapper\" data-transition-effects><fieldset class=\"fieldset-cf7mls cf7mls_current_fs\"><p class=\"contact-099\">Contact Information\n<\/p>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"title\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Title\" value=\"\" type=\"text\" name=\"title\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"full-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"full-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><label>Date of Birth:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Date of Birth\" value=\"\" type=\"date\" name=\"dob\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email Address\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"home-address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Home Address\" name=\"home-address\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"work-address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Work Address\" name=\"work-address\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"contact-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Contact Number(s)\" value=\"\" type=\"tel\" name=\"contact-number\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"post-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Post Code\" value=\"\" type=\"text\" name=\"post-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-1\">Next Step<img decoding=\"async\" src=\"https:\/\/devs.wordpress.ug\/asou\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/devs.wordpress.ug\/asou\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">Step 2\n<\/p>\n<p class=\"contact-099\">Professional Profile & Registration\n<\/p>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"designation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Designation\/Job Title\" value=\"\" type=\"text\" name=\"designation\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"specialty\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Specialty\" value=\"\" type=\"text\" name=\"specialty\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sub-specialty\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Sub-specialty\" value=\"\" type=\"text\" name=\"sub-specialty\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"qualifications\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Qualifications (Name &amp; Institution)\" name=\"qualifications\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"registration-body\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Registration Body\" value=\"\" type=\"text\" name=\"registration-body\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"registration-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Registration Number\" value=\"\" type=\"text\" name=\"registration-number\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><label>Date of Registration:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"registration-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Date of Registration\" value=\"\" type=\"date\" name=\"registration-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><label>Profile Picture (Latest and high resolution photo)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-724\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\"image\/*\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"file-724\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-2\">Back<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-2\">Final Step<img decoding=\"async\" src=\"https:\/\/devs.wordpress.ug\/asou\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/devs.wordpress.ug\/asou\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">Step 3\n<\/p>\n<p class=\"contact-099\">Membership, Education & Referees\n<\/p>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><label>Membership Type:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"membership-type\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"membership-type\"><option value=\"Full Membership\">Full Membership<\/option><option value=\"Auxiliary Membership\">Auxiliary Membership<\/option><option value=\"Associate Membership\">Associate Membership<\/option><option value=\"Honorary Membership\">Honorary Membership<\/option><option value=\"Fellows\">Fellows<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"leadership-role\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Leadership Role with ASOU (if any)\" value=\"\" type=\"text\" name=\"leadership-role\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"course-qualification\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name of Qualification Studying Towards\" value=\"\" type=\"text\" name=\"course-qualification\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"institution-study\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Institution of Study\" value=\"\" type=\"text\" name=\"institution-study\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"current-year\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Current Year of Study\" value=\"\" type=\"text\" name=\"current-year\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><label>Course Completion Date<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"completion-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Course Completion Date\" value=\"\" type=\"date\" name=\"completion-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referee1-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referee 1 Name\" value=\"\" type=\"text\" name=\"referee1-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referee1-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referee 1 Email\" value=\"\" type=\"email\" name=\"referee1-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referee1-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referee 1 Phone Number\" value=\"\" type=\"tel\" name=\"referee1-phone\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referee1-membership\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referee 1 ASOU Membership Number\" value=\"\" type=\"text\" name=\"referee1-membership\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referee2-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referee 2 Name\" value=\"\" type=\"text\" name=\"referee2-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referee2-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referee 2 Email\" value=\"\" type=\"email\" name=\"referee2-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referee2-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referee 2 Phone Number\" value=\"\" type=\"tel\" name=\"referee2-phone\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referee2-membership\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referee 2 ASOU Membership Number\" value=\"\" type=\"text\" name=\"referee2-membership\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><label>Proof of Payment:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"proof-of-payment\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.jpg,.png\" aria-invalid=\"false\" type=\"file\" name=\"proof-of-payment\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><label>Date of Application<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"application-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Date of Application\" value=\"\" type=\"date\" name=\"application-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit &amp; Pay\" \/><div class=\"cf7mls-btns cf7mls-btns-last-step\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-3\">Back<\/button><button type=\"button\" style=\"display: none;\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-3\"><img decoding=\"async\" src=\"https:\/\/devs.wordpress.ug\/asou\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/devs.wordpress.ug\/asou\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button>\n<\/p><\/fieldset><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1bfdf79 elementor-widget elementor-widget-spacer\" data-id=\"1bfdf79\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fcfb45d elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"fcfb45d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Membership Fees<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6fd0ab0 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"6fd0ab0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tA membership subscription shall be payable by registered members of the Association of surgeons of Uganda to provide funds for the carrying out of the work of the Association.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-003657b elementor-widget elementor-widget-elementskit-dual-button\" data-id=\"003657b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-dual-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n                <div class=\"ekit-element-align-wrapper\">\n                    <div class=\"ekit_double_button\">                <a class=\"ekit-double-btn ekit-double-btn-one\" href=\"https:\/\/flutterwave.com\/pay\/f5issi4yyygw\">\n                    Membership Payment                <\/a>\n            <span class='ekit_button_middle_text'>Or<\/span>\n            <a class=\"ekit-double-btn ekit-double-btn-two\" href=\"https:\/\/flutterwave.com\/pay\/f5issi4yyygw\">\n                    Renew Membership                <\/a>\n                  <\/div>\n                <\/div>\n            <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Membership Application Home \u203a Membership Application Membership Form ASOU New Membership Form Thank you for expressing interest to become a member of The Association of Surgery of Uganda. Fill out the form to apply. Title: Full Name: Date of Birth: Email Address: Home Address: Post Code: Contact Number(s): Work Address: Designation\/Job Title: Specialty: Sub-specialty: Qualifications [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5352","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Apply Online - Association of Surgeons of Uganda<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Apply Online - Association of Surgeons of Uganda\" \/>\n<meta property=\"og:description\" content=\"Membership Application Home \u203a Membership Application Membership Form ASOU New Membership Form Thank you for expressing interest to become a member of The Association of Surgery of Uganda. 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