HARPAZO CHAPLAIN CORPS INTERNATIONAL LTD/GTE
Harpazo Faith-based Protection Corps
(Harps HQs)
MEMBERSHIP FORM
Name___________________________
_______________________________
Add____________________________
_______________________________
D.o.B_____________P.o.B___________
State of Origin____________________
Ethnic Status_____________________
Citizenship_______________________
Phone__________________________
Financial Status____________________
Health Status_____________________
Gender____________Height________
Email__________________________
Skin Colour______Eye Colour________
Allergies: Yes or No__________________
If Yes: Explain:____________________
______________________________
Existing Member: Yes____ No_____
If Yes: Enlistment No:_______________
Command:_______________________
Supervisor Name:__________________
Member of any organization
Name __________________________
______________Service Yrs_________
Education Background:
Secondary School attend:_____________
_______________Date____________
Higher Institution attend:_____________
_______________Date____________
Family Background (For Singles)
Name of Father____________________
Name of Mother___________________
Supported: Yes______No_____If No?
Why___________________________
For Married
Name of Spouse___________________
No of Children:____________________
Supported: Yes_____No_____If No?
Why___________________________
Religious Background
Christian_________Muslim__________
Name and Signature of Clergy_________
________________Date___________
I______________________________Pledge to obey all organization rules and regulations
Volunteer's Signature________________
Official use only.
Approved by______________________
Date/Sign________________________
Print, fill with ink in capital letter and forward with passport to: hcorps@yahoo.com.
Membership Freewill payment #2,000 is non-refundable.
Official Notice: All materials given belongs to the organization, must be returned if membership is rescinded or when leaving the organization.
Membership can be rescinded with or without prior notice if character is found wanting.
All payments made are freewill and are non-refundable for any reason.
I_______________________________
Accept/Sign______________________
Thanks
Harpazo Hqs.