NNPC COOP CMS LAGOS

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Registration Form

Personal Details
* StaffID:		* Gender:
* First Name:		* Last Name:
Other Name:		* Department:
* Location:		* Staff Group:
* SBU:
Year of Birth:		* Email:

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

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

Bank Details
* Bank Name:		* Account No:
Bank Branch:		Sort Code:

Contributions
* Savings:		Min Savings:	10,000.00

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