NIFMT PRINTABLE FORM

Membership Application Form

Application / Form Number

Application / Form Date

Use this form to record membership details after the application and project terms have been reviewed.

Complete applicable fields only. Attach supporting documents listed in the application instructions. This form does not guarantee approval, payment, principal repayment or returns.

Back to Forms

Member Details

Full name

Membership reference (if available)

Date of birth

Email address

Mobile number

Address

Project and Plan Details

Name of Project

Plan Category

Sub-project Name

Membership amount proposed / agreed

Project start date

Plan tenure / end date

Indicative payout frequency (if applicable)

Payment Details

Payment amount

Payment date

Payment method

Transaction / receipt reference

Documents Checklist

Application form completed

Identity / address documents as required

Signed project agreement (if applicable)

Payment proof (if applicable)

Declaration

I confirm that the information provided is accurate to the best of my knowledge and understand that the applicable signed agreement and law govern the project terms.

☐ I have reviewed the form and attached the relevant supporting documents.

Applicant / Member Signature: __________________

Date and Place: __________________