ASSOCIATION OF NIGERIANS ABROAD
Application for Membership
What is your FIRST name? *
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What is your SURNAME name? *
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What is your gender? *
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Telephone Number (Include Country Code): *
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E-Mail address: *
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Facebook/Twitter Account (optional):
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Postal Address: *
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City *
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State *
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Zip Code *
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Country of Residence: *
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Profession/Occupation:
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If student, field of study:
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Are you a Nigerian CITIZEN?: *
(Note: Non-Nigerian citizen if qualify, will be considered for Associate Membership)
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Are you 18 years old or above? *
(Membership is granted to only those who are at least 18 years old)
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How did you come to know about the ANA? *
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The ANA Charter, states in part: "The Association is a non-profit, non-ethnic, non-religious, and non-partisan in all its dealings with the people and Government of the Federal Republic of Nigeria and the outside world. The Association believes in upholding human rights, the rule of law, fairness, justice, and equity in Nigeria and for all Nigerians. The composition of the Association is a reflect the rich ethnic and cultural diversity of Nigeria." *
Is the position expressed above consistent with your position?
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Please briefly state your interest in ANA and Nigeria: *
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The membership dues is $50.00 for Adult and $25.00 for Student.
Please bear in mind that membership will not be active until payment is received and processed.
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I hereby declare that the information I have provided in this e-form is true to the best of my knowledge, and if accepted as a member/associate member, I will abide by all the rules and regulations of ANA. *
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