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Sdei Capital Project Form

The document is a Capital Project Form that collects personal information from the CEO, including contact details, organization information, and bank details. It also outlines a payment procedure for a non-refundable registration fee of N10,000 and requires affirmations from the CEO and guarantors. Additionally, it notes that further forms will be issued for community leaders' affirmations regarding the projects.

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EDMART TECHNOLOGY
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20 views6 pages

Sdei Capital Project Form

The document is a Capital Project Form that collects personal information from the CEO, including contact details, organization information, and bank details. It also outlines a payment procedure for a non-refundable registration fee of N10,000 and requires affirmations from the CEO and guarantors. Additionally, it notes that further forms will be issued for community leaders' affirmations regarding the projects.

Uploaded by

EDMART TECHNOLOGY
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CAPITAL PROJECT FORM

State Code:……………………………………… LGA Code:………………………………

CEO’S PERSONAL INFORMATION


1. CEO's Full Name: ______________________________________________
2. Phone Number: ________________________________________________
Affix Two
3. Recent Passports
NIN: _________________________________________________________
4. BVN: ________________________________________________________
5. Email Address: ________________________________________________
6. State of Origin: ________________________________________________
7. Local Government of Origin: _____________________________________
8. Gender: ______________________________________________________
9. Date of Birth: __________________________________________________
10. Permanent Home Address: _______________________________________
11. Religion: _____________________________________________________
12. Tribe: ________________________________________________________
13. State of Residence: _____________________________________________
14. Local Government of Residence: __________________________________
15. Town/City of Residence: _________________________________________
16. Occupation: ___________________________________________________
17. Nationality: ___________________________________________________
NEXT OF KIN INFORMATION
1. Next of Kin's Name: ___________________________________________
2. GSM of Next of Kin: ____________________________________________
3. Local Government of Next of Kin: _________________________________
4. State of Next of Kin: ____________________________________________

1
CAPITAL PROJECT FORM

State Code:……………………………………… LGA Code:………………………………

ORGANIZATION’S INFORMATION
1. Type of Organization: ___________________________________________
2. Name of Organization: __________________________________________
3. Address of Organization: ________________________________________
4. Certificate Number of Organization: ________________________________
5. Year of Registration: ____________________________________________
6. TIN Number: __________________________________________________
7. EFCC SCUML Certificate's Number: _______________________________
CHOSEN CENTRE FOR PHYSICAL SCREENING AND VERIFICATIONS
1. State: _________________________________________________________
2. LGA: _________________________________________________________
BANK DETAILS
1. Organization’s Account Name: ____________________________________
2. Organization’s Account Number: __________________________________
3. Bank Name: ___________________________________________________
4. Phone Number: ________________________________________________

PAYMENT PROCEDURE

Make a payment of non-refundable amount of N10,000 as registration fee into

your SDEI Regional designated bank account, using Local Government Code as

your Transaction Narration.


2
CAPITAL PROJECT FORM

State Code:……………………………………… LGA Code:………………………………

CEO’S AFFIRMATION

I ________________________________ hereby made a payment of non-

refundable amount of N10,000 for my membership registration and also affirms

that every information given by me is true and authentic.

If any or part of it there of is discovered to be false and misleading, let this contract

be terminated.

__________________________________ _________________________
CEO’S Name CEO’S Signature and Date

3
CAPITAL PROJECT FORM

State Code:……………………………………… LGA Code:………………………………

GUARANTOR’S INFORMATION (1)

1. Full Name: _____________________________________________________


Affix Two
Recent Passports
2. Phone Number: _________________________________________________

3. Address: _______________________________________________________

4. Occupation: ____________________________________________________

5. ID Number: ____________________________________________________

6. LGA: _________________________________________________________

7. State: _________________________________________________________

__________________________
Signature and Date

4
CAPITAL PROJECT FORM

State Code:……………………………………… LGA Code:………………………………

GUARANTOR’S INFORMATION (2)

1. Full Name: _____________________________________________________


Affix Two
Recent Passports
2. Phone Number: _________________________________________________

3. Address: _______________________________________________________

4. Occupation: ____________________________________________________

5. ID Number: ____________________________________________________

6. LGA: _________________________________________________________

7. State: _________________________________________________________

__________________________
Signature and Date

5
CAPITAL PROJECT FORM

State Code:……………………………………… LGA Code:………………………………

NOTE

Another set of forms will be issued eventually for the community leaders’

affirmations of the projects.

__________________________________ _________________________
Local Government Coordinator’s Name Signature/Date

__________________________________ _________________________
State Government Coordinator’s Name Signature/Date

__________________________________ _________________________
Regional Coordinator’s Name Signature/Date

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