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MEMBERSHIP APPLICATION

Surname*
First Name*
Gender


Mailing Address*
Marital Status
Date of Birth (dd/mm/yy)
Profession
State of Origin
Country
Qualifications
Telephone Number
 

Work*:  

Home/Mobile*:

Mode of Identification
Email Address*
Employers Name
Employer's Address
Job Title
BENEFICIARY OF INVESTMENTS
Beneficiary Details
Name
Address
Relationship
 
 

ELIGIBILITY
• Nigerian Citizen or Permanent Resident;
• At least 16 years of age;
• Not be an undischarged bankrupt;
• Not be legally or mentally disabled; and
• Not have a conviction for an offence punishable with imprisonment.

MEMBERSHIP CEASES ON:
• Resignation (by giving 6 months notice);  Insanity;  Imprisonment;  Bankruptcy;  Expulsion.

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