Membership Application – TESFA Refugees with Disabilities Association

Join TESFA Refugees with Disabilities Association

Welcome to the Membership Application Portal of TESFA Refugees with Disabilities Association.
TRDA is a refugee-led organization dedicated to promoting the rights, dignity, inclusion, and empowerment of refugees with disabilities in Ethiopia. Through advocacy, capacity building, humanitarian assistance, and community engagement, we strive to create equal opportunities and improve the quality of life of refugees with disabilities.
We invite eligible refugees with disabilities to become members of our association and join our collective efforts to build an inclusive and supportive community.

Instructions

Before completing the application form, please read the following instructions carefully:

Complete all required fields accurately and truthfully.
Ensure that your Refugee/Returnee ID Number is entered correctly.
Provide a valid phone number so that we can contact you when necessary.
If you select “Other” under Type of Disability, please provide a brief description.
If you indicate that you need assistance, please explain the type of support you require.
Submission of this application does not automatically guarantee membership. Applications may be reviewed and verified by the association.

First Name *

Middle Name

Last Name *

Gender *

Date *

Nationality *

Refugee / Returnee ID Number *

UNHCR Case Number (Optional)

Refugee Status *

Type of Disability *

Mobile Phone Number *

Alternative Phone Number (Optional)

Email Address

Region *

House Number

City *

Sub-City/Camp *

Country *Select your Residence Country

Need for Accessibility Support *Select all that apply.Wheelchair accessible venueSign language interpretationDocuments in accessible formatPersonal assistant/caregiver supportTransportation assistanceNo special support requiredOther (please specify)

Brief Description of Disability0 / 100

Why do you want to become a member of TESFA?0 / 100

Highest Level of Education *

Employment Status

Field of Study0 / 50

Current Occupation0 / 50

Skills and Work Experience0 / 100

Upload Refugee/Returnee ID *

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Upload Disability Supporting DocumentUpload a medical certificate, disability ID card, rehabilitation document, or another relevant supporting document. If unavailable and your disability is visible, you may upload a recent photograph instead.

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Emergency Contact Name

Relationship to Applicant

Emergency Contact Phone Number

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