Membership Registration Form

Dear Prospective Member,
We are glad to have you join us. Kindly fill the form below. To complete your registration, you shall be redirected to payment portal to enable you pay the necessary registration fee of NGN15,000.00 (which covers registration and 1 year annual dues). Your membership certificate shall be sent to the email address you use for this registration, after successful payment.

Welcome to the ASN!
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Choose a unique username you can easily remember for login purposes.
email
Provide a functional email address: your details will be sent to this email.
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Choose a password you can easily remember. Your password strength MUST be strong to continue with the registration. See the strength indicator below.
Repeat the exact password you chose.
Strength indicator
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Your official surname as it appears on your certificates.
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Your official first name (and other names or initials) as they appear on your certificates.
Choose as indicated.
Answer "Yes" if you have been issued a membership certificate previously, or "No" if otherwise.
Provide a brief about yourself under the following: Institutional Affiliation & Address: Area of Specialization: Professional Title/Designation: Phone number: Type of Membership (Student, Ordinary or Corporate Membership):
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Upload an image of yourself, preferably a formal passport-size or portrait photograph, which should not be more than 1MB in size. Please clean images of yourself. Corporate members may use their company/institution logo.

All fields are mandatory. Profile image size must be less than 1mb.
If you are having any challenges with filling this form, kindly reach out for support on +2349021674649
WHATSAPP

An existing member? Login

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