|ND|V|DUALlCORORA1

MMR5H| FORM
A. PR5ONAL/ORGANlZATlON5
1?L Cl MLM8L8SPl
lnulvluuAL
CC8C8A1L
NAMFS. PROF/DR/CHlFF/MR/MRS/MlSS
NAMF OF ORCANlZA1lON.
CON1AC1 ADDRFSS.
1FLFPHONF NO(S).
email address
B. PROPO5D lNDlVlDUAL/ORGANlZATlON'5
5UPPORT lOR Rll.
C. 5TATMNT Ol COMMlTMNT
l hereby pledge my LoLal commlLmenL Lo Lhe general
goals, ob[ecLlves, mlsslon and vlslon of 8ll.
uA1L SlCnA1u8L
Ceneral opulaLlon
CommunlcaLlon
SLraLeglc behavloural change
CommunlLy moblllzaLlon
Servlce dellvery
Advocacy
8esearch
CapaclLy 8ulldlng
CollaboraLlon
nead Cff|ce:
1he Coord|nator
kose||ne Ifeta Ioundat|on (kII)
6 L|berty Avenue, Cff Ihama koad, G. k.A.
. C. 8ox 6S94, 8en|n C|ty
Ldo State, N|ger|a
8ranch Cff|ce:
7, 8en|n 1echn|ca| Co||ege koad,
Cff 8en|n-Lagos koad
Ugbowo, 8en|n C|ty
Ldo State, N|ger|a
1e|: +234 8023344044, 7030S21621, 8023S94S24
80S6S18606, 80S498S686 and 8034427100
L-ma||: fo[4rea|2001Qyahoo.com
rose||ne|fetafoundat|onQyahoo.com
Webs|te: http:]]www.rose||ne|fetafoundat|on.org
...8u||J|nq o soIc onJ |co|t|y soc|cty
lot fottbet lofotmotloo cootoct.

NETWORKING/ AFFILIATION
Conferenceof non-governmenLal organlzaLlons
(CCnCCs)

ose leLa FoundaLion is a non-

gov er nmenL a l , non- pr o i L
RorganizaLion based in 8enin CiLy,
Nigeria. 1he oundaLion was esLablished in
2007 wiLh a disLinguished board o LrusLees.
RlF is regisLered wiLh CorporaLe Aairs
Commission. RlF has mandaLe Lo aciliLaLe
programmes and processes LhaL will bring
abouL sae and healLhy environmenLal
pracLices.
Roseline leLa FoundaLion (RlF) is commiLLed
Lo enhancing Lhe qualiLy o lie o Nigerians
Lhrough awareness and adopLion o global
environmenLal saeLy pracLices Lowards
reducLion o Lhe huge annual losses in
human and maLerial resources Lhrough
advocacy or policy ormulaLion and cosL-
eecLive implicaLion, legislaLive reorm and
Lhe execuLion o environmenLal and road
saeLy acLions.
ConLrlbuLeLo bulldlng ahealLhy nlgerlan SocleLy
where clLlzens are free from all forms of road
and envl ronmenL al hazar ds f or L he
advancemenL of communlLydevelopmenL.
1he foundaLlon wlll operaLe wlLh Lhe followlng
corevalues:
lnLegrlLy
Lxcellence
AccounLablllLy
CollaboraLlon
PumlllLy
Selfless Servlce
CreaLlvlLyand LncouragelnnovaLlon
8ll ls a broad based nCC worklng ln secLors of
human and socleLal developmenL.
PealLh
LducaLlon
AgrlculLure
Cender and Puman 8lghLs
overLyLradlcaLlon
Cood Covernance
eaceand ConfllcL 8esoluLlon
MISSION
VISION
THEMATIC AREAS OF WORK
ABOUT THE FOUNDATION
GOALS
1o engage in public enlighLenmenLs, research,
advocacy campaigns, legislaLive reorm
programs and service delivery wiLh Lhe aim o
empowering and Lransorming Lhe socieLy aL
large.
1o engage in public educaLion, rallies and
programmes relaLed Lo reducing road and
environmenLal hazards across Lhe naLion.
1o ensure LhaL Lhe socieLy have ree access Lo
inormaLion LhaL will add posiLive value Lo
Lheir saeLy in Lhe communiLy.
1o conLribuLe in Lhe prevenLion and conLrol o
prevailing environmenLal hazards.
1o parLner and collaboraLe wiLh individuals,
proessional associaLions and insLiLuLions,
privaLe and public bodies, governmenL
agencies, non-governmenLal organizaLions
and communiLies Lowards Lhe achievemenL o
Lhe philosophy o RlF.
CORE VALUES
nead Cff|ce:
1he Coord|nator
kose||ne Ifeta Ioundat|on (kII)
6 L|berty Avenue, Cff Ihama koad, G. k.A.
. C. 8ox 6S94, 8en|n C|ty
Ldo State, N|ger|a
...8u||J|nq o soIc onJ |co|t|y soc|cty
1e|:

L-ma||:
Webs|te:
+234 8023344044, 7030S21621, 8023S94S24
80S6S18606, 80S498S686,
08163124892 and 8034427100
fo[4rea|2001Qyahoo.com
rose||ne|fetafoundat|onQyahoo.com
http:]]www.rose||ne|fetafoundat|on.org
Ou kcI.____________________
You kcI.____________________ Dotc________________
8ranch Cff|ce:
7, 8en|n 1echn|ca| Co||ege koad,
Cff 8en|n-Lagos koad
Ugbowo, 8en|n C|ty
Ldo State, N|ger|a