Membership Form

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First name

Last name

Date of Birth

Gender

Village

L.G.A

State

Nationality

Residential Address

Phone Number

Email address

Religion

Educational Level

Marital status

Number of Children

Occupation

Next of Kin

Means of Identification

NIN

Driver's license

Voter's card

ID Number

Bank Account Details

Account Name

Account Number

Bank Name

I affirmed (a) that all the information supplied for membership application is true and correct (b) that I shall abide by the constitution of Enobong Ibok Charity Foundation (c) that I shall participate in all of her activities.

Signature

Forms are submitted with a non-refundable fee of N2000

Method of Payment

Cash

Transfer

From your bank app add narration ECIF Membership

MEMBERSHIP FORM

Bank Account Details

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