Register - MDU

Eligibility

Before filling this Application Form, you must understand that ONE of your biological parents must be Mende by tribe.
I confirm that at least one of my biological parents is Mende by blood.

Personal Information

Legal First Name *

Legal Last Name *

Full Current Legal Address *

Applicant's Phone Number *

Email Address *

Applicant's Date of Birth *

Applicant's Gender *

Applicant's Place of Birth *

Biological Parents

Full Name of Applicant's Biological Father *

Full Name of Applicant's Biological Mother *

Children Information

Add up to 5 children:

Child No. 1 - Full Name

Date of Birth

Country of Birth

Child No. 2 - Full Name

Date of Birth

Country of Birth

Child No. 3 - Full Name

Date of Birth

Country of Birth

Child No. 4 - Full Name

Date of Birth

Country of Birth

Child No. 5 - Full Name

Date of Birth

Country of Birth

Marital Status

Applicant's Marital Status *

Name of Applicant's Spouse

Tribal Affiliation

Are you a member of any other tribal organization?

If YES, what's the organization?

Emergency Contact

Applicant's Next of Kin *

Emergency Contact Name *

Emergency Contact Phone Number *

Account Information

Create Password *

Receive MDU alerts via WhatsApp

Legal Affirmation

Affidavit of Affirmation:

I, [Applicant's Full Name], do hereby solemnly swear that the information submitted by me on this application is true, complete, and accurate to the best of my knowledge.

I affirm the truth of this statement. *

Join MDU

Membership Application

Eligibility

Personal Information

Biological Parents

Children Information

Marital Status

Tribal Affiliation

Emergency Contact

Account Information

Legal Affirmation