Full Name (required)
Your Email (required)
Amount Paid - figures only(required)
Payment Date (required)
Upload Proof of Payment (required)
Your Phone (required)
Are you NIS Member? (required) YesNo
NIS Short Code (for Members Only)
NIS State Branch AbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguFCT AbujaGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara
NIS Status FellowMemberAssociateProbational
Organization/ Institution Name (required)
Area of Practice (required) Private PracticeGovernmentAcademicsOther
Do You Intend to Present Paper(s)? (required) YesNo
Are you Interested in Gala Night? (required) YesNo
Name of Accompanying Person 1 (if any)
Name of Accompanying Person 2 (if any)
Submit Registration