First Name *

Last Name/Surname *

Date of Birth *
Owners, CEOs or MDs DOB

Residential Address *

Next of Kin

First Name *

Last Name *

Relationship *

Address *

Mobile Number *

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LGA *

State of Operation *

LGA of Operation *

Address of Operation *

Warehouse of Operation Address 1 *
(if more than 1)

Warehouse of Operation Address 2

Warehouse of Operation Address 3

State of Origin *

Company Name

Corporate Registered / Registered Address

Website

Designation *

CAC RC Number

Date of Incorporation

Particulars of Directors / Partners:(s)
Names and Nationality

National Identification Number *
Type of ID and Number

Mobile Number *

WhatsApp Number *

Your email

Nationality *

Member Accredited Representative
Full name, Position, WhatsApp No, Mobile No & Email

Alternative Representative
Full name, Position, WhatsApp No, Mobile No & Email

Business Types *
ProducerProcessorSupplierDistributorWholesalerContractorManufacturer

Other

Who referred you to NACPDEAN? *
First & Last Name and Company

DECLARATION BY APPLICANT: 1. I declare that all the above information’s are correct, complete and to the best of my knowledge; 2. I agree to file additional information as required by the association. *
YesNo

Having capacity, authority and of sound, I hereby pledge to abide by the Constitution of National Association of Charcoal Producers, Dealers, Exporters and afforestation of Nigeria (NACPDEAN) and to be bound by the resolution(s) passed by it, I hereby apply to be a member of NACPDEAN dated *

Membership fee of N30,000 should be paid into the account details as follows: Account Name: National Association of Charcoal Producers, Dealers, Exporters, and Afforestation of Nigeria (NACPDEAN), Bank Name: First Bank, Account number: 2042052445 *
DoneNot YetOther

NACPDEAN Registration Payment Receipt
Upload Your Evidence of Payment

Submit your Application Letter with company letterhead signed and sealed
Your Application should be addressed to: The Director-General, NACPDEAN. Office Address: Block D, Old Secretariat Complex, Area 1, Garki, Abuja, FCT
Note: You should only scan and submit softcopy of Application Letter.

Passport Photograph *
Upload passport (size: 1-10MB).

National Identity Card *
Upload Accepted national ID: Int'l Passport, NIN, Voters Card, & Driver's License

CAC Certificate
Upload your CAC certificate

CAC Form: Section C - Particulars of First Directors
Upload your Particulars of first directors

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Member Expectation Feedback
Your feedback will help NACPDEAN serve you better

What is your company’s interest in NACPDEAN? *

What are your main challenges in the charcoal sector to date? *

List the areas where you believe the NACPDEAN can assist your organization? *