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Online Membership Application

Takes about 10 minutes. Have your ID, NIN and a passport photograph ready before you start.

Personal Information

Full Name *

Date of Birth *

Gender *

Male Female

Marital Status

Nationality

Passport Photograph *

JPG or PNG, under 5MB.

Contact Information

Phone Number *

Email Address *

Residential Address *

Employment Information

Employer

Occupation

Staff ID

Office Address

Employment Letter (if applicable)

JPG, PNG or PDF, under 5MB.

Identification

National Identification Number (NIN) *

11 digits, as printed on your NIN slip.

BVN (optional)

Means of Identification *

National ID, Voter's Card, Passport or Driver's Licence — JPG, PNG or PDF, under 5MB.

Next of Kin

Name *

Relationship

Phone Number *

Address

Membership Details

Preferred Savings Plan *

Membership Category *

Initial Contribution (₦)

I declare that the information provided in this application is true and complete to the best of my knowledge, and I agree to be bound by the cooperative's bye-laws.

Electronic Signature (type your full name) *