IPAi 2025 Membership Application

IPARA PROGRESSIVE ASSOCIATES INITIATIVE (IPAi)
IPAi MEMBERSHIP APPLICATION FORM
SECTION A: PERSONAL INFORMATION
Full Name*
Your surname first, then first name and other name
Gender*
Select your Sex/Gender
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
Profession/Occupation
Address
Quarters (Adugbo) & Compound (Agboole)
Full Portrait (Picture) of yourself.

Upload your nice Portrait good for publication.
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SECTION B: PAYMENT SYSTEM (₦10,000.00K)

BANK DEPOSIT OR TRANSFER VIA | Bank Name: FCMB - First City Monument Bank. | Account name: IPARA PROGRESSIVE ASSOCIATES INITIATIVE | Account No.: 7453214010
Kindly upload your evidence of payment.*

Screenshot or picture allowed
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SECTION C: SPONSORSHIP

Constitutionally only member-Associates can sponsor your application. For this reason, you must identify with any of the listed Associates as your sponsor. Kindly make sure he is aware of this choice.
Who is your sponsor?*

Associate Dr. Adeboye A. OsonameAssociate Christopher O. OlokodanaAssociate Sheriff O. AkinyemiAssociate Olufemi O. SodiyaAssociate Babatunde O. SoyoyeAssociate Ayodeji A. DadaAssociate Oluseun Alfred EwejobiAssociate Oluwaseun OwolabiAssociate Akinlolu AwosanyaAssociate Mayowa BanwoAssociate Azeez SikiruAssociate Oluwaseun SodolaAssociate Bolaji Bisayo
Why do you want to join IPAi?*
Kindly make your reason very brief.
SECTION D: ATTESTATION

Signed the form and enter date in this section.
I hereby certify that the information I provided in this form is correct, true, accurate and complete to the best of knowledge, and I understand that contrary facts about any of it can mean disqualification from being a member of the NGO.
Signature

Clear
Date

MonthDayYear
Date
SECTION E: FOR OFFICIAL USE

Do not attempt to fill this section
I have evaluated and scrutinised this form and information therein and also confirmed the authenticity of the applicant, and I hereby approve the applicant's consideration for membership into the NGO.
Name of Executive
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

IPARA PROGRESSIVE ASSOCIATES INITIATIVE (IPAi)

IPAi MEMBERSHIP APPLICATION FORM

SECTION B: PAYMENT SYSTEM (₦10,000.00K)

SECTION C: SPONSORSHIP

SECTION D: ATTESTATION

SECTION E: FOR OFFICIAL USE