NEW MEMBERS REGISTRATION FORM

Bank Details: FirstBank Nigeria

Bank Account Name: National Institute of Marketing of Nigeria

Bank Account Number: 2001715932

Registration costs N10,000.00

All asterisked (*) fields are mandatory

 

Personal Details

 


Educational Details

 

Other Professional Qualifications (Attach all relevant documents)

 


Employment Details

A. Current Employment Information

 

B. Current Employment Information I

 

C. Current Employment Information II

 


I enclose the following necessary documents

 

 


PROGRAMME

Fellow    Full Member    Associate    Graduate    Student   

 


REFERRER/ RECRUITER

 

Newsletter Subscription


Declaration By Applicant

*  I Agree

 

 

 

 

 

 

 

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