Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

APPLICANT

ENDORSEMENT FORM

Your Details

Full name (Surname First):_________________________________________________________

Signature & Date: ____________________________________________________________________

SPONSOR/ ENDORSER
Note: One of the Sponsor/ endorser must be the Chairman of the state Branch to which the
applicant is affiliated. If there is no State branch in the state you are in then the Branch
Chairman of the nearest state may endorse as one of the Sponsor s.

Sponsor/ Endorser - One

Name of Sponsor: ____________________________________________________________________

Shortcode/ NIS members’ ID: ____________________________________________________

Membership Status: _________________________________________________________________

Signature & Date: ____________________________________________________________________

Sponsor/ Endorser - Two

Name of Sponsor: ____________________________________________________________________

Shortcode/ NIS members’ ID: ____________________________________________________

Membership Status: _________________________________________________________________

Signature & Date: ____________________________________________________________________

You might also like