Registration Form

Registration Fee: ₦2,000.00
Personal Details
Staff ID: Gender:
First Name: Last Name:
Other Name: Department:
Year of Birth: Email:
Membership Category:

Contact Details
Address: City:
State: Telephone:

Next of Kin Information
Full Name: Address:
City: State:
Email: Phone:
Next of Kin's Relationship:

Bank Details
Bank Name: Account Number:
BVN: Sort Code:

Contributions (Please, note that the minimum contribution is ₦5,000.00)
Voluntary Monthly Contribution: Net Monthly Salary:

Membership Info.

Member Population: 97

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Help Desk

We are available to answer your questions

Cooperative Office

Address: MacTay House, 5 Prince Adelowo Adedeji Street, Off Admiralty Way, Lekki, Lagos. Nigeria.
Telephone: 01-6322359, 09023458955
E-mail: mactaycoop@3rdquadrant.com