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THE CONGRESS INVESTMENT CLUB (TCIC)

1, Thaani Olodo Street, Jibowu, Yaba, Lagos


investmentclub@tmcng.net, investmentclubtmc@gmail.com
Tel: 08023285307; 08124417804

Member
Photo

Membership Personal Data Form


Personal Data:
Surname: ____________________________________________________________________________

Other Names: _________________________________________________________________________

ID No/Passport No: ______________________ Marital Status ________________________________

Contact Address: ______________________________________________________________________

______________________________________________________________________

TMC State of Membership: _______________________LGA________________________________

Branch: _____________________________ Occupation: ____________________________________

Email: __________________________________Tel No:_____________________________________

Next Of Kin - Name: __________________________________________________________________

Address: ____________________________________________________________________________

E-Mail Address: __________________________________ Tel. No: ____________________________

Relationship: _____________________________

Monthly Contribution: ______________________________________________________ N _________


(NB: Minimum of N1, 000.00 and in multiple of N1, 000.00)
DECLARATION

I hereby confirm that information given above are

correct and pledge to abide by all the rules and regulations of the club including but not limited to

the partnership deed. Applicants Signature & Date: ________________________________________

OFFICE USE

Date Admitted:__________________________ Membership No. _______________________________

Verified by: Name:_______________________________ Signature/Date:________________________

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