Membership Form -

Memebership Form

Select *

MR

Rev.

Pastor

Egnr.
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Name

First

Last
Contact Address *
Date of Birth *
Educational Level *
Phone Number *

State of Origin *
Who is your Guarantor and Relationship? *

Local Government Area
Email Address
Section Two

Some description about your Occupation
Type of Occupation *
Office/Work Address *
Brief about yourself *
Section Three

Some description about your Next of Kin
Name *

First

Last
Next of Kin Contact Address *
Phone Number *
Who is your Guarantor and Relationship? *
Section Four

Declaration of Membership
Declaration *

I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application will lead to immediate termination of membership. Also I have attended The Egbe Ifelodun’s Monthly Meetings on three (3) occasions.
I have Read The Egbe's Constitution *

I hereby declare that I have read The Egbe’s Constitution. I also understand that I must not belong to any occultist society, if found this application will lead to immediate termination of membership.