Like-Minded Innovative Club

Membership Application Form

Please complete this form electronically. Fields are designed for typing. Registration Fee is ₦200,000 (Two Hundred Thousand Naira)

Account Details

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Application Details

Full Name (Last Name first) * Residential Address * Telephone Number * Email Address * Date of Birth * Means of Identification * -- Select -- Personal Voter's Card (PVC) National Driving License (NDL) National Identification Slip (NIS) National Identification Number (NIN) International Passport Identification Upload a Valid ID Card (JPG, PNG, or PDF): * Where did you hear about Like-Minded Innovative Club of Ijero? * Friend / Existing Member Social Media Community Event Website Other Reason for Joining the Club: * Payment Method * -- Select -- Bank Transfer Online Transfer Declaration & Consent * I confirm that the information provided is accurate and I agree to the Privacy Policy. I Disagree Submit Application

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