Member Registration

Personal Details
* StaffID: * Gender:
* First Name: * Last Name:
Other Name: * Department:
* Membership Type:
Year of Birth: * Email:

Contact Details
* Address: * City:
* State: Telephone:

Next of Kin
Full Name: Kin Address:
City: State:
Email: Phone:

Bank Details
* Bank Name: * Account No:
Bank Branch: State:

Contributions
* Savings: Min Savings Amt: 20,000.00