Register

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REGISTRATION

 

Please Fill Every Field In The Form Below To Register For Litigation:

 

 

 

TO REGISTER YOURSELF & OTHERS ONLINE AS A LITIGANT FILL IN THE FORM

OR

TO REGISTER OTHERS OFFLINE DOWNLOAD THE OFFLINE FORM FROM THE LINK BELOW FOR THEM TO FILL THEN REGISTER THEM ON THE ONLINE FORM ABOVE WITH THE CORRECT DETAILS

 

LITIGATION FORM DOWNLOAD (MS WORD)

________________________________________________________________________________________

ONLINE LITIGATION FORM SAMPLE

After correctly filling the form by clicking on the SUBMIT bottom
you have agreed to abide by the terms and conditions on the Litigation Form.

________________________________________________________________________________________
 
EDO DELTA MOVEMENT
…Oil Blocs For Oil Communities Litigation Form…
 
Note that the Locus Standi for registering as a Litigant for the
#Oil Blocs For Oil Communities Campaign must meet these legal requirements

1. You must be an indigene of Edo-Delta Oil & Gas Community or its proxy communities and Local Government Areas.
2. Your must fill your contact details correctly in the profile information below.
3. You must agree to be a signatory to the International Litigation.
4. You must agree to receive regular update emails / text messages.
_______________________________________________________________________________________

Part I. Profile Information (please write clearly in capital letters)
 
First Name: ____________________________________________________________
 
Family Name: ___________________________________________________________
 
Mother’s Maiden Name: ____________________________________________________
 
Profession: _____________________________________________________________
 
Mobile: ________________________________________________________________
 
Email Address: __________________________________________________________
 
Local Government Area: ___________________________________________________
 
State of Origin  
Tick:
Edo State
Tick:
Delta State

Tribe of Origin

Tick:
Afemai
Tick:
Edo
Tick:
Esan
Tick:
Ijaw
Tick:
Isoko
Tick:
Itskhiri
Tick:
Ora
Tick:
Urhobo

Marital Status  

Tick:
Married
Tick:
Single
Tick:
Divorced
Tick:
Widowed

 
Monthly Donations

Tick:
N500 (Basic Donor)
Tick:
N1000 (Premium Donor)

 _______________________________________________________________________________________

NOTE: please visit our website to find out how to donate via ATM Card,  Mobile Phone or Bank Deposit as we do NOT accept cash-in-hand donations without receipts for the purpose of referrals, acknowledgments & accountability!

https://edodeltamovement.wordpress.com
 _______________________________________________________________________________________

Part II. Official Information
Referrals  should fill in the following details
 
Full Names: ____________________________________________________________
 
Mobile: ________________________________________________________________
 
Email Address: ___________________________________________________________
 

Part III. Disclaimer
I understand that #Oil Blocs For Oil Communities litigation free will donations are for the exclusive use in support of its legal campaign to provide rural & urban development for all the indigenous people of Edo & Delta States. I take responsibility for maintaining the confidentiality of the personal details and information contained herein and will not agree
to any out of court settlement that will undermine the oil communities ownership of their oil blocs.
 

Sign: ___________________________ Date: ________________________

NB: download the form in MS Word from the link on the top page and fill it after which
you may scan it and send it as an email attachment thru our contact page for processing.
_____________________________________________________________________________________________________________________________________________________________

 

 

EBENINALIVETODAYBenin_empire

FLY THE FLAG OF FREEDOM!!!

 

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