Man of Order and Discipline Movement, Nigeria

Membership Application

Application form for National ID Card. Complete the form in capital letters for admin review, ID confirmation, and QR verification.

Choose Registration Type

New applicants will be reviewed by admin. Existing MOD members provide key details and receive access after successful registration.

New Member Application For people applying newly and waiting for admin review. Existing Member Registration For already admitted MOD members who need portal access.

Fields marked * are required.

Applicant Identity

Enter the details exactly as they should appear in the MOD record.

DMC

Name

Parish And Council Codes

Supply the applicable parish and MOD administrative codes.

Parish

Parish Code

Division Code

DMC / Diocesan Code

Provincial Code

National ID Card Details

These fields mirror the official MOD National ID Card application form.

Rank

PIN No. (if known)

Sex

Date of Birth

Height (feet)

Genotype

Blood Group

Department

MOD National ID Card No. (if any)

Year Admitted Into MOD

Date Issued (if known)

Expiry Date (if known)

Contact And Supporting Details

These additional details help the council maintain an accurate digital membership record.

Phone No

Email Address

Village / Town

Home Diocese

State

L G A

Address

Occupation

Next of Kin

Next of Kin Phone No

Photo

Use a recent passport photograph in your current rank uniform, without a beret.

Signature Image

Upload a clear image of the applicant signature.

Applicant Declaration

Submitting this form confirms that the provided information and uploaded signature are correct.

I agree that my details may be used for membership review, identity records, and QR verification. Read the Privacy Policy.

Already approved? Login