New Member Application
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Surname
OtherNames
Mobile Number
Member ID
Gender
Select Gender
Male
Female
Member Category
Select Category
Permanent Staff
Pension
Third Party Staff
Cooperative Staff
Others
Member Company
Select Company
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Member Location
Select Location
Department
Monthly Savings ₦
Share Capital ₦
Email Address
Select Bank
Select Bank
Account Number
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Next Kin Name
Next Kin Mobile
Next Kin Relation
Next-of-Kin Relation
Spouse
Son
Daughter
Brother
Sister
Father
Mother
Next Kin Address
Recent Payslip(Optional)
Passport(Optional)
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