APPLICATION FOR MEMBERSHIP

(spouse and person over 18 to fill in)
Title:         Surname

Firstname/middle names (in full):  

Home Address:

Street:                

Town:                

Post Code:        Country:

Phone:               Mob:

Fax:                   

Email:               

Sex:             DOB

                           Place of Birth: 

                           Marital Status:

Office Address

Office Address:

Office City:             Post Code:   

Phone:        Email:     

Fax:           Country:

Employer's name/College name and Address (if self-employed, please state the business name ):         

Tick the box for your preferred mailing address:  Home:           Office:

Profession or Position Company: (E.g. Medical Doctor, Athlete, Engineer, Musician , Teacher, etc. If student, please specify course. if self-employed, what is the nature of your business?)

Educational Qualification (including Professional Association, if applicable)

Professional Experience (List the last post you have held , if applicable)

Professional Project Undertaken (please list up to 3 project you have undertaken, if applicable)

Year it was taken

 

                     

                     

                     

Major Publications or Achievements (if any) please list in order of priority or job-related. please DO NOT send copies of your publications

Any additional useful information
if you are admitted to membership, are you willing to serve in any o the committees?              Yes:           No:

I am over 18 and hereby apply for membership of Nigerians in Diaspora Organisation Europe- NIDOE. I undertake to abide by the Rules of the Organisation . I further undertake to conform to and promote the policies, goals and objectives of the Organisation. I also confirm that all information supplies in this application are true and correct.    Tick to accept terms

SUBSCRIPTION INFORMATION

Annual Subscription                                  £30 (or equivalent)

Full-time student and person over 65 pay 50% only of amount due

Subscription details:                                                Subscription Due                                 Full-time Student and person over 65 years

Application fee (payable only once)                         £   30.00   (or equivalent)                                         £   15.00  (or equivalent)

Your Subscription fee for YYYY                             £   30.00   (or equivalent)                                         £   15.00  (or equivalent)

TOTAL DUE                                                               £   60.00   (or equivalent)                                         £   30.00  (or equivalent)

Voluntary Contribution (optional):                             £                                                                                £                                       

I HERBY ATTACHED MY CHEQUER or ONLINE PAYMENT FOR THE TOTAL SUM OF:  £                      £                                     

For Payment online Click here
CREATE YOUR PASSWORD:

Password:      Repeat Password:

Please forward your crossed cheque/money order marked "Account payable Only" (payable to NIGERIANS IN DIASPORA ORGANISATION EUROPE)

Attention : General Secretary

Nigerians in Diaspora Organisation Europe

9 Northumberland Avenue, London WC2N 5BX
                                                                 

The information contained in this Form is subject to terms of the Data protection act 1984