AGM Registration

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