Artisans Form

A. PERSONAL INFORMATION
Name*
Firstname Lastname
PHONE NUMBER*
EMAIL ADDRESS*
ARE YOU MARRIED*
DO YOU HAVE CHILDREN*
IF YES HOW MANY*
B. BUSINESS INFORMATION
WHAT IS YOUR OCCUPATION*
OFFICE/WORKSHOP ADDRESS*
Street Address Address Line 2
Town*
Local Government Area*
C. ARTISAN/EXPERT EVALUATION
STATE YOUR IDENTIFICATION*
National Identification Number*

Please note this number will be verified before we process your application
Permanent Voters Card Number*

Please note this number will be verified before we process your application
D. NEXT OF KIN INFORMATION
NAME OF NEXT OF KIN*
Firstname Surname
PHONE NUMBER OF NEXT OF KIN*
ADDRESS OF NEXT OF KIN*
Street Address Address Line 2
Town*
Local Government Area*
RELATIONSHIP WITH NEXT OF KIN
DECLARATION*
I certify that the information I have provided is true and complete to the best of my knowledge. I am aware that this self declaration statement is subject to review and verification and if such information has been falsified I may no longer be eligible to participate fully in the development programs of ONDEA.

A. PERSONAL INFORMATION