Become a member

Join Us

COFFHA organises events, outreaches and programmes to promote the wellbeing of the less privileged. Complete the form below if you would like to become a member.

Become a member

COFFHA Membership Form

Surname *

Firstname *

Other names

Address *

Telephone *

Email *

Date of Birth

Age *

Marital Status

Married
Single
Divorced
Widowed

Occupation *

Office Address *

Next of Kin and Relationship

Are you presently a member of any social club(s) and/or association(s)

(If yes to above, state name and address)

Home Town and Address

Educational Qualification(s)

Sponsor

DECLARATION: I hereby apply for membership of COFFHA and declare that the information given in this form is correct to the best of my knowledge and belief; and that any false statement made herein shall automatically disqualify me for membership. I equally agree to abide by the constitution of the association. Furthermore, I promise to be lyal to the course of this noble association. I also confirm that my spouse (husband) is in total agreement with my membership of this club.

I Agree