Membership Registration Form
Official Offline Application - Monogold Union House
Instructions: Please fill this form in BLOCK LETTERS. Scan or take a clear photo of the form and your supporting documents, then email to customercare@madapwalletcard.com.ng
[ ] In what city or town did your parents meet?
[ ] What was the make and model of your first car?
[ ] What is the first name of your favourite childhood teacher?
[ ] What was the name of the street you lived on in third grade?
[ ] What is your oldest sibling's middle name?
[ ] What was the name of your first childhood friend?
[ ] What is the name of the hospital where you were born?
PAYMENT & ATTACHMENT CHECKLIST
Annual Membership Fee: ₦30,000
Account Name: MonuGold American DAP WalletCard Ltd | Account Number: 1029781819 | Bank: UBA PLC
[ ] Evidence of Payment (₦30,000 Receipt)
[ ] Copy of Utility Bill (Proof of Address)
[ ] Live Photo / Selfie (Passport equivalent)
[ ] CAC Certificate (For Alliance Partners/LTD only)
Terms and Conditions for Enrolment
Formalization and Membership Requirements for MADAP WalletCard Trade Group
1. Membership to the MADAP WalletCard and Trade Groups from MADAP WalletCard Ltd is a must and the Annual Membership Fee is ₦30,000.
2. Membership comes with account creation for either the subscriber or alliance partners & association/trade members from 9 payment service banks (9PSB) through MADAP WC portal.
3. The Lagos State Informal Space Management Authority (LASISMA) will provide further instructions as to the allotment process and qualifications for the informal space allotment. As soon as members apply for it through their user dashboard on the MADAP WC portal.
4. A Permit for the Allotment will be issued to successful applicants.
Annual Membership of MADAP WalletCard Trade Groups of Informal Space Users
1. The annual membership fee is ₦30,000.
2. Payment instructions are as stated below:
Account Name: MonuGold American DAP WalletCard Ltd
Account Number: 1029781819
Bank: UBA PLC
The Terms & Conditions and Annual Membership Fee are acceptable to me.
