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Membership Induction Programme
For Graduate, Associate and Member Grades
HELPLINES: 08052597204, 08052597244, 08052597239
Surname*
Firstname*
Othernames
Title*
Choose Title
Dr
Miss
Mr
Mrs
Gender*
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Male
Female
Date Of Birth*
State Of Origin*
Please Choose
Abia
Adamawa
Anambra
Akwa Ibom
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Enugu
Edo
Ekiti
FCT - Abuja
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Contact Address*
Current City
Membership Grade*
Email*
Exam Number*
Receipt Number*
Name Of Bank*
Amount Paid*
Payment Date*
Mobile No*
Induction Venue / Date*
Please Choose
January 15th, 2019 Lagos
February 15th, 2019 Lagos
May 25th, 2019 Ibadan
June 30th, 2019 Port Harcourt
July 10th, 2019 Calabar
Preferred Chapter*
Choose Chapter
ABA
ABAKALIKI
ABEOKUTA
FCE ABEOKUTA
ABIA STATE UNIVERSITY/UTURU
ADESUWA
ADO-EKITI
AGIP/NAOC
AKURE
ASABA
AUCHI
AWKA
BAUCHI
BIRNIN KEBBI
CALABAR
CENTRAL DISCTRICT
DAMATURU
DUTSE
EKPOMA
ELEME
EMENE
ENUGU
EPE
EZIAMA
FUTA
FUTO
GARKI
GOMBE
GUSAU
IBADAN
IKEJA
IKORODU
IKOT EKPENE
IKOT ORURUA
ILARO
ILORIN
IMT
JALINGO
JOS
KADUNA
KANO
KATSINA
KATSINA-ALA
KUBWA
LAGOS
LOKOJA
LONDON
MAIDUGURI
MAITAMA
MAKURDI
MAPOLY / LAFENWA
MINNA
NEKEDE
NNEWI
NNPC KADUNA
NSUGBE
OBOLLO-AFOR
OFFA
OGBOR HILL
OKO
OMOKU
ONIKE
ONITSHA
OREDO
ORON
OSOGBO
SANGO-OTTA
OVIA
OWERRI
PORT-HARCOURT
REMO
TOTAL
UGBOWO
UGHELLI
UI/POLY
ULI
UMUAHIA
UMUDIKE
UNEC
UNILAG
UNILORIN
UNIUYO
UNIZIK
UYO
WARRI
WARRI-MUNICIPAL
YANDEV/GBOKO
YENAGOA
YOLA
ZARIA
Instuttion Attended*
Qualification Obtained*
Graduation Year*
Profession
Current Employer
Employer Address
Current Position
Year Employed
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