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Online Registration Form

Important note: The purpose of this online registration is to create your personal Nigerian Red Cross Database account. In order to become a member, you also need to pay an annual membership fee.

THIS IS NOT A JOB APPLICATION!

Fields with a star * must be filled in.

State of current residence *

LGA of current residence *

First Name: *

Middle name(s):

Last name:

Gender: Female Male *

Year of birth: *

Title: *

Marital status: Married Single Other *

Occupation:

Student:

Education level: *

Discipline (education):

Residential address (include P.O. Box address if you have one):

Workplace (organisation, company etc.):

Workplace address:

Telephone 1:
Use this format: 08012345678

Telephone 2:

How would you like to contribute to the Nigerian Red Cross?
You can update your preferences later.
By making donations

By being a member

By volunteering

Please tell us something about yourself, skills, interests, etc. (optional)

Email: *

Repeat Email: *

Select a password: *

Repeat password: *

Please check your email inbox once you have submitted!
Make sure you click on the link to activate your database account.

Nigerian Red Cross Society

Volunteer database

Online Registration Form