Surname Othernames Date of Birth Age Place of Birth State of Origin Local Government of Origin Occupation Telephone Email Nationality Other Nationality Sex MaleFemale Residential Address Business / Office Address Member Number Hobbies Have you been convicted before? YesNo Give reasons for joining Two names of your referees A new member of the club must abide by the following rules Shall be on a three months probation Must be a functional in all club’s activities You cannot contest for any elective office in the next three years from the date of acceptance Any fraudulent act/stealing and fighting shall not be condoled as this will amount to immediate expulsion. DECLEARATION: I Do hereby declare that the information supplied above are true and correct to the best of my knowledge and oblige to abide by the rules and regulation of the club.
Date of Birth
Age
Place of Birth
State of Origin
Local Government of Origin
Occupation
Telephone
Email
Nationality
Other Nationality
Sex MaleFemale
Residential Address
Business / Office Address
Member Number
Hobbies
Have you been convicted before? YesNo
Give reasons for joining
Two names of your referees
DECLEARATION: I Do hereby declare that the information supplied above are true and correct to the best of my knowledge and oblige to abide by the rules and regulation of the club.
