Toggle Navigation
Personal Information
Title
Select Title
Mr
Miss
Mrs
Surname
First Name
Other Name
Maiden Name
Email
Gender
Select Gender
Male
Female
Marital Status
Select Marital Status
Single
Married
Divorced
Current Address
Phone Number
Date of Birth
Nationality
State of Origin
- Select -
Abia
Adamawa
AkwaIbom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
FCT
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamafara
Local Government
Religion
Select Religion
Christianity
Islamic
Others
Place of birth
Select Place of Birth
Outside Nigeria
ABUJA FCT
ABIA
ADAMAWA
AKWA IBOM
ANAMBRA
BAUCHI
BAYELSA
BENUE
BORNO
CROSS RIVER
DELTA
EBONYI
EDO
EKITI
ENUGU
GOMBE
IMO
JIGAWA
KADUNA
KANO
KATSINA
KEBBI
KOGI
KWARA
LAGOS
NASSARAWA
NIGER
OGUN
ONDO
OSUN
OYO
PLATEAU
RIVERS
SOKOTO
TARABA
YOBE
ZAMFARA
Password
Choose a password you can remember because you will need it in future
National Identification Number(NIN)
Parents/Guardian Information
Title
Title
Mr
Mrs
Miss
Name
Address
Phone
State of Origin
Relationship
Relationship
Father
Mother
Brother
Sister
Wife
Husband
Account Information
Bank Name
Choose
Access Bank
Citibank
Diamond Bank
Ecobank
Fidelity Bank
First Bank
First City Monument Bank (FCMB)
Guaranty Trust Bank (GTB)
Heritage Bank
Keystone Bank
Polaris Bank
Providus Bank
Stanbic IBTC Bank
Standard Chartered Bank
Sterling Bank
Suntrust Bank
Union Bank
United Bank for Africa (UBA)
Unity Bank
Wema Bank
Zenith Bank
Account Number
Account Name
Upload Passport & Signature
Upload Passport
Upload Passport
Passport must be with a white background
Upload Signature
Upload Signature
Signature must be on a white background
Save and Continue