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Cooperative Member Registration Form
UNITED STAFF CMS, IGBEKEBO Member Registration Form
Personal Information
Remita No:
Fullname
Gender
--Select Gender--
Male
Female
Date of Birth
Phone No
Email Address
Residential Address
Password
State of Origin
--Select State--
Local Government
--Select LGA--
Department
--Select Department--
ADM DEPT
AGRIC DEPT
COMMUNITY DEPT
ENVIRONMENTAL DEPT
PHC DEPT
TREASURY DEPT
WORKS DEPT
SUBEB & OTHERS
BPRS
Date of First Appointment
NOK Fullname
Next of Kin Phone No
Relationship with Next of Kin
BVN
Account No
Account Type
--Select Account Type--
Savings Account
Current Account
Corporate Account
Bank
--Select Bank--
Access Bank
Citibank Nigeria
Ecobank Nigeria
Fidelity Bank
First Bank of Nigeria
First City Monument Bank (FCMB)
Globus Bank
Guaranty Trust Bank (GTBank)
Heritage Bank
Jaiz Bank
Keystone Bank
Optimus Bank
Parallex Bank
Polaris Bank
PremiumTrust Bank
Providus Bank
Stanbic IBTC Bank
Standard Chartered Bank
Sterling Bank
SunTrust Bank
Titan Trust Bank
Union Bank of Nigeria
United Bank for Africa (UBA)
Unity Bank
Wema Bank
Zenith Bank
Kuda Microfinance Bank
Ekondo Microfinance Bank
Opay (Paycom MFB)
PalmPay MFB
Moniepoint MFB
FairMoney MFB
Carbon (One Finance MFB)
Sparkle MFB
VBank (VFD Microfinance Bank)
Rubies MFB
Eyowo MFB
ALAT by Wema
Mean of Identification
--Select Means of Identification--
National ID Card (NIN)
Voter's Card
Driver's License
International Passport
Upload ID Card
Upload Photo/Passport
Frequent Deposit Amount
Kind of Account
Cooperative
