IBIBIO PEOPLE’S UNION P. O. Box 741642 Dallas, TX. 75374 ◊ Phone: (503) 661 6368 Fax: (615) 567 5784 ◊ www.ibibiopeoplesunion.org Motto: Ikpafak Ibibio Membership Application Form (Please Note that application into IPU is vetted for place of origin; one becomes a member only if his/her application is approved). Basic definition of an Ibibio person as defined for purposes of membership in IPU; is a person whose biological father is Ibibio and who has no mental reservation publicly identifying himself/herself as Ibibio. Please see the Constitution for comprehensive definition. Are you Ibibio? Yes ( ) No ( ) Name (Applicant’s 3 full names): Current Address (Not P.O. Box, please): Phone number: (c) e-mail Preferred Union Chapter: LGA of Origin: Village Ekpuk Father’s Name (3 names) Address (if any) Contact Person Address Phone Number: E-mail: Affirmation: I agree to abide by the Constitution of Ibibio People’s Union, serve faithfully, and keep to the tenets of the Union by obeying its Bye-Laws. I agree to keep the Union Business confidential. (Divulging Union Business to non-members is an Offense punishable as the Union may so decide). I affirm that all information supplied on this form is true and correct. Membership Application Fee (non-refundable): $100.00. Signature: Date: Thompson Essien – President ◊ Edet Udofia - Vice President ◊ Nicholas Edet – Secretary ◊ Patrick Daniel – PRO Ndanyongmong Ibanga – Treasurer ◊ Aniema Umoh – Financial Secretary Global Board of Directors: Idara Akpaniquot, Michael Effiong, Eme Nsuk, Edem Akpan, Michael Ntuk
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