Diana Anokye-Larbey
Office Secretary,
West-Central Africa Division of Seventh-Day Adventist


Form


REGISTRATION FORM




Premier

Dernier
Male / Homme
Female / Femme
Single
Married
Below / Moin de 15
15 - 20
21 - 25
Above / Plus de 26


Adresse 1

Adresse 2

Ville

Etat


Code postal

Pays
 
Yes / Oui
No / Non
Yes / Oui
No / Non

yyyy/mm/dd
Cameroon Union Mission
Central Africa Union Mission
Eastern Nigeria Union Conference
Southern Ghana Union Conference
Northen Ghana Union Conference
Eastern Sahel Union Mission
Western Sahel Union Mission
Western Nigeria Union Conference
Northen Nigeria Union Conference
West Africa Union Mission


UNION / CONFERENCE OF CANVASSING




Adresse 1

Adresse 2

Ville

Etat


Code postal

Pays
 

I, (STUDENT)……………………………………………………………….... HEREBY PLEDGE TO ABIDE BY THE RULES AND REGULATIONS GOVERNING CANVASSING AS STATED IN THE SALE CONSTITUTION WHEREVER I WILL BE CANVASSING. IF I DEFAULT IN ANYWAY, MY REPORT SHOULD BE SENT TO MY SCHOOL AND MY GUARANTOR.

 

STUDENT SIGN.:  ……………………… ………...   

DATE:                    ……………………… ………...                                       

 

GUARANTOR SIGN.: …………………………...  

DATE:     ……………………… ………...    


PLEASE NOTE


1. Your name and that of your guarantor on this form stand as signature.

2. **Are compulsory fields. Your form may not be approved if you do not fill these.

3. Registration for 2021 summer canvassing closes April 30, 2021.

4. Ensure you get a letter of invitation from your host before setting out to your canvassing location.

5. Students (SDA) from non-Adventist institutions are welcome under special arrangement.