Joint Minds Club - 30th Anniversary

Membership Application

Fill out the form below to apply for membership. All fields marked with * are required.

Section A: Personal Information

Full Name *

Email Address *

Set Number *

Marital Status *

Sex *

Course of Study *

Programme Status *

Level *

Date of Birth *

Phone Number *

WhatsApp Number

Optional - Your WhatsApp contact number

LinkedIn Profile URL

Optional - Your LinkedIn profile link

Profile Photo

Upload a clear passport photograph (Optional, Max 5MB, JPG/PNG)

Why do you want to join Joint Minds Club? *

Hobbies *

Section B: Sponsor Information

Declaration

"The information contained on this form is to the best of my knowledge, true and accurate. Upon my admission into Joint Minds Club, I promise to be liable for any misrepresentation which I might have made on this form."

Signature (Sign on white paper and upload) *

Sign on a white paper, take a photo, and upload

Date *

Registration Fee

₦1,000.00

You will be redirected to Paystack to complete your payment securely. After successful payment, your application will be submitted for review.

I agree to the Terms and Conditions and Privacy Policy of Joint Minds Club *

Your application will be reviewed by our admin team after payment confirmation

Become a Member

Membership Application

Application Submitted Successfully!

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Section A: Personal Information

Section B: Sponsor Information

Declaration

Registration Fee