Society Registration Form

Please fill the informaton below

Cooperative Society

Please select an option.

Cooperative Union

Fullname

Please enter a valid name.

Please enter a valid email.

Telephone

Please enter a valid telephone number.

Name of Society

Please enter a the name of your society.

Date of Establishement

Please enter the date your society (or union) was established.

Number of Male Members in your Society

Please enter the total numbers of male members your society has.

Number of Female Members in your Society

Please enter the total numbers of female members your society has.

Address of your society

Please enter the address of your society.

Local Government Area

Please select your local government.

Name of president

Please enter the name of your president.

President's Telephone

Please enter a valid telephone number.

Secretary

Please enter the name of your secretary.

Secretary's Telephone

Please enter a valid telephone number.

Name of treasurer

Please enter the name of your treasurer.

Treasurer's Telephone

Please enter a valid telephone number.

Amount

Please enter the amount you want to pay.