Agbon Unity Club

Step 2: Background & Addresses

Step 3: Professional & Sponsors

Employment Status

Employed Self-employed

Name of Employer

Position / Rank

Nature of Business

Years in Business

Number of Employees

Education & Motivation

Secondary / Post-Secondary Attended

Why do you want to become a member? *

Official Sponsors

Provide two active sponsors. If your sponsor is not yet registered on this portal, you can manually enter their details.

1 1st Sponsor

Is Sponsor 1 registered on the portal? Yes, select from list No, enter details manually

Select Sponsor * -- Select Member -- moses seth (MS2026051500002) Seth Eliel (SE2026051500003) System Administrator (AUC-ADMIN-001)

Full Name *

Phone Number *

2 2nd Sponsor

Is Sponsor 2 registered on the portal? Yes, select from list No, enter details manually

Select Sponsor * -- Select Member -- moses seth (MS2026051500002) Seth Eliel (SE2026051500003) System Administrator (AUC-ADMIN-001)

Full Name *

Phone Number *

Applicant Declaration *

I hereby declare that the information provided above is accurate. If admitted, I pledge to uphold the Club's Constitution and contribute positively to its growth.