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Register

Register

This registration form is for new-members of the Cooperative.
You will need to pay your registration fee of #5,000 (five thousand naira) during the process.
A gateway transaction charge of #100 (one hundred naira) is added.
First Name
Middle Name(if any)
Surname/Last Name
GSM Number
Gender
Birthday
Email Address
Business/Office Address
Type of Business
Residential Address
Next of Kin
Next of Kin GSM Number
Choose a Password
Your Passport Photo