ACCREDITED MEMBER AFFILIATE INFORMATION

Name of Institution : CENTRE DE FORMATION BIBLIQUE VICTORY INTERNATIONAL MINISTRY - TOGO

Contact Person for Additional Information

Name : APOSTLE DOCTOR AKOUMEY-DOUSSEY ATSOU KOFI Title/Position : NATIONAL DIRECTOR

Institution Address : 04 B.P. 559 LOME Phone : (+228) 90 01 43 38

City : LOME Website _____________________________________________

State : TOGO Zip _____________________ Email : vim_indigenousministries@live.com

Affiliate Institution Information

Affiliate Institution : CENTRE DE FORMATION BIBLIQUE VICTORY INTERNATIONAL MINISTRY - TOGO

Street : TOKOIN-CASABLANCA

City : LOME
State : TOGO Zip _____________________

$500.00 Application Fee / $250.00 Renewal Fee

Any application received without the required fee will not be processed.

Documentation to Accompany This Application

Doctrinal Statement, Catalog, Brochure, Curriculum,

Agreement

I, APOSTLE DOCTOR AKOUMEY-DOUSSEY, am authorized to apply for Accredited Level Membership by Affiliation on behalf of the above
institution. The documentation supporting our compliance with Transworld accreditation standards is attached. I have read, understand and
our institution agrees to abide by Transworld’s Doctrinal Statement, Standards & Criteria and the current Transworld fee schedule.

APOSTLE DOCTOR AKOUMEY-DOUSSEY ATSOU KOFI _______________________________________

(Printed or Typed Name) (Signature)

____________NATIONAL DIRECTOR_________________ Date : 04th NOVEMBER 2023

(Printed or Typed Title/Position)

Affiliate Application & Information

P.O. Box 1095 – Ponte Vedra Beach, Florida 32004

(951) 901-5586 – Telephone / Office@TransworldAccrediting.com – Email
www.TRANSWORLDACCREDITING.com