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Membership Registration Form

Personal Data

Surname (names as per BVN)^*

First Name^*

Residential Address

Address Line 1 ^*

Phone Numbers (WhatsApp Preferred)^*

Email^*

Next Of Kin

a. Name^*

b. Contact Address

Address Line 1 ^*

Relationship^*

Phone Numbers (WhatsApp Preferred)^*

Cooperative Society Conditions

1. Registration Fee All persons with interest of joining the cooperative will be required to pay the sum of ______ as the registration fee. This said sum is subject to the review of the cooperative executives. 2. Sitting/Attendance Fee All cooperative members are expected to pay the sum of _________ as sitting fee in every cooperative meeting held. This is to aid the running of the cooperative. 3. Absentee Fee Members who fail to appear during meetings and without any permission of exemption will be required to pay the sum of _________ as absentee fee. Consistent absenteeism will warrant executive disciplinary measures 4. Each member will make monthly personal savings contribution. Minimum amount of which is ____________ , which may be reviewed from time to time.

Attestation

I, certify that the information provided above is correct and that I have duly read the cooperative conditions and do commit to abide by them.

Date^*

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Membership Registration Form

Personal Data

Next Of Kin

Cooperative Society Conditions

Attestation

Download Form Here...

Please note that you will be required to fill a physical form and append your signature.