Membership Form - All Categories - DUNAMIS PROTOCOL HQ

SECTION A: INTRODUCTION/BIO DATA

The purpose of this form is to maintain, update and harmonize the data of all protocol members at DIGC, Glory Dome. Kindly provide all the required details correctly and accurately.

Upload passport photograph*

First Name*

Middle Name

Last Name*

Phone Number(s)*

Email Address

Date of Birth*

*Use the calendar/date picker to select date

Gender*

Male

Female

Current Place of Residence

*To be filled by those residing outside FCT, Abuja

Which state do you currently reside in?

Country and Province of Residence*

State of Origin*

LGA

ABIA LGA*

AKWA IBOM LGA*

BAUCHI LGA*

BENUE LGA*

CROSS RIVER LGA*

ADAMAWA LGA*

ANAMBRA LGA*

BAYELSA LGA*

BORNO LGA*

DELTA LGA*

EBONYI LGA*

EDO LGA*

EKITI LGA*

ENUGU LGA*

AREA COUNCILS*

GOMBE LGA*

IMO LGA*

JIGAWA LGA*

KADUNA LGA*

KANO LGA*

KATSINA LGA*

KEBBI LGA*

KOGI LGA*

KWARA LGA*

LAGOS LGA*

NASARAWA LGA*

NIGER LGA*

OGUN LGA*

ONDO LGA*

OSUN LGA*

OYO LGA*

PLATEAU LGA*

RIVERS LGA*

SOKOTO LGA*

TARABA LGA*

YOBE LGA*

ZAMFARA LGA*

Academic Qualifications

Occupation/Nature of Work*

Work Address

*Kindly give detailed description including closest landmark

Marital Status*

Spouse Name*

Phone Number*

Residential Address*

*Kindly give detailed description including closest landmark

Next of Kin (NOK)*

Relationship with NOK*

Membership Form – All Categories

DUNAMIS PROTOCOL DEPARTMENT HQ

SECTION A: INTRODUCTION/BIO DATA

SECTION B: SPIRITUAL OBLIGATIONS AND OTHER DETAILS

SECTION C: HOME CHURCH COMMITMENT

SECTION D: DECLARATION AND REFEREES (ATLEAST ONE MUST BE A RELATIVE)

DECLARATION

SECTION C: DETAILS OF PREVIOUS LOCATION

DECLARATION

SECTION C: MORE DETAILS ABOUT YOUR INITIAL EXITING FROM THE DEPARMENT

DECLARATION

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