Numi Kingdom Registration Form

Numi Kingdom Nation Information
One Application per Adult Member*

Given Name/ FIRST NAME SurName/ LAST NAME
Date of Birth*

MonthDayYear
Date
Appellation Name
( El, Bey, Al, Dey )
Mobile Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Emergency Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
Natiional Decent
Berber, Native, Moor
Tell us about yourself in a short bio.*
What are your goals? where do you see yourself? List any accomplishments.
Why would you like to be apart of Numi Kingdom, and how would you like to contribute?
What would you like to know about Numi Kingdom ?*
Which of these applies to you? VERY IMPORTANT REQUIREMENT*

I would like to help Numi Kingdom behind the scenes and contribute to the board of leaders.Looking to develop my skills and focus on learning from peers with Numi Kingdom.I understand that if offered an Authorized Royal Positions, it's volunteer services & a signed NDA is Royal Protocol for Numi Kingdom to be filed.Numi Kingdom Citizen Participation / New Members Application Process African DisaporaNumi Kingdom Associates Participation / Friends of Numi Kingdom( INTERNATIONAL MEMBERS ONLY NON-DUAL CITIZEN) with Numi Kingdom.
All Children UNDER the age 18
Name, Relationship, Age
Facebook Name*
Instagram Name
Youtube Channel
Date*

MonthDayYear
Date

Numi Kingdom Nation Information