Sign Up

Membership Registration Form

Dear Prospective Member,
We are glad to have you join us. Kindly fill the form below. To complete your registration, when you submit the form, you shall be redirected to your member dashboard, from where you can procced to pay the necessary registration fee of NGN15,250.00, which covers registration and 1 year annual dues. Your membership certificate shall be available on the 'My Certificates' tab after successful payment.

Welcome to the ASN!
______________________________________________

account_circle
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.
visibility
Choose a password you can easily remember. You MUST use a STRONG password as shown in the password strength indicator below.
Repeat the exact password you chose. You MUST use a STRONG password as shown in the password strength indicator below.
Strength indicator
battery_charging_full
perm_identity
Your official surname or family name.
perm_identity
Your official first name (and other names or initials).
Arrange your names (without titles) exactly as they should appear on your membership certificate.
account_box
Upload an image of yourself, preferably a formal passport-size or portrait photograph, which should not be more than 5MB in size. Please use a clean image of yourself. Corporate members may use their company/institution logo.

All fields are mandatory. Profile image size must be less than 5mb. If you are having any challenges with filling this form, kindly reach out for support on +2349021674649
WHATSAPP

Already registered? Login
Scroll to Top