Register - NIFES Multipurpose Cooperative Society

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Register

Members: NGN.5000
Students: NGN.1000

Title

First Name

Last Name

Gender

Date of Birth

Nationality

State Of Origin

Employment Status

Contact Address

Home Telephone

Office Telephone

Marital Status

Name of Spouse

No of Children

Name of Next of Kin

Address of Next of Kin

Next of Kin E-Mail Address

Next of Kin Phone

Account Type

E-Mail Address

Password

Confirm Password

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