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Membership Registration Form
EDO (BINI) ASSOCIATION ITALY
REG. N. – 1693. P.IVA/C.F.93110950230
SurName
Name(s)
Date of Birth
Place of Birth
Marital Status
Address in Italy
State
City
Postal Code
Phone
State of Origin
Names of Next Of Kin
Relationship with Next of Kin
Address Only If Different from Yours
Address in Nigeria
I the above-named person hereby declare and sworn to be a true and dedicated member of this association and that the information's and attached documents are true to the best of my knowledge. I promise to comply with the constitutional rules and regulations governing the association.
I Accept
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