MEMBERSHIP IS OPEN TO ALL IGBO SONS AND DAUGTHERS RESIDING WITHIN HEILBRONN AND ITS ENVIRONS, AS WELL AS THEIR RESPECTIVE FAMILY MEMBERS.
CONDITION FOR ADMISSION
THE MEMBER
A. ACCEPTS THE PURPOSES AND AIMS OF THE UNION.
B. TAKES UPON THE OBLIGATIONS OF THE MEMBERSHIP.
Nzuko Ndi Igbo Heilbronn e.V.
Registration Form
| SURNAME(in block letters): | ----------------------------------------------------- | ||
| FIRST & MIDDLE NAMES: | ----------------------------------------------------- | ||
| MARITAL STATUS: | ----------------------------------------------------- | ||
| NUMBER OF CHILDREN: | ----------------------------------------------------- | ||
| NAME OF SPOUSE: | ----------------------------------------------------- | ||
| NAMES OF CHILDREN: | ----------------------------------------------------- | ||
| PLACE OF BIRTH: | ----------------------------------------------------- | ||
| DATE OF BIRTH: | ----------------------------------------------------- | ||
| STATE OF ORIGIN: | ----------------------------------------------------- | ||
| HOME ADRESS IN NIGERIA: | ----------------------------------------------------- | ||
| ----------------------------------------------------- | |||
| LOCAL GOVERNMENT AREAR: | ----------------------------------------------------- | ||
| NEXT OF KIN: | ----------------------------------------------------- | ||
| ADRESS OF NEXT OF KIN: | ----------------------------------------------------- | ||
| ----------------------------------------------------- | |||
| TELEPHONE NUMBER(S): | ----------------------------------------------------- | ||
| PRESENT PLACE OF WORK/STUDY: | ----------------------------------------------------- | ||
| ADRESS: | ----------------------------------------------------- | ||
| ----------------------------------------------------- | |||
| TELEPHONE / FAX: | ----------------------------------------------------- | ||
| DECLARATION: | |||
| I hereby certify that the information given above by me is correct and I will abide by the constitution of NZUKO NDI IGBO HEILBRONN e.V. | |||
| WISH:-------------------------------------------------------------------------------------------------------- | |||
|
In case of death: I wish to be buried in my home in Nigeria. Yes:-------- No:-------- Not decided:-------- |
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| DATE:---------------------------------- | SIGNATURE:------------------------------------ | ||
