✦ Est. Africa ✦ Institute of Africa
Life Coaches & Mentors
Member Registration & Enrolment
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Personal
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Contact
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Professional
4
Membership
5
Preview
Personal Information
Please select a title.
Date of birth is required.
First name is required.
Last name is required.
Please select a gender.
Nationality is required.
Please select your country.
Contact Details
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Phone number is required.
Address is required.
Professional Background
Occupation is required.
Please select experience level.
Please select a qualification.
Please select at least one area.
Membership & Commitment
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Please share your goals.
Please select an option.
Review Your Application
✦ Please review your details carefully before submitting.  Once submitted, your application will be processed by our membership team.
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Application Received Thank you for registering with the Institute of Africa Life Coaches & Mentors.
Your application has been successfully submitted and is currently under review.

A confirmation will be sent to you shortly. Our membership team will be in touch within 3–5 business days.