Register

Nigeria Legion OSC › Register

Surname Name*

First Name*

Middle name*

Password*

Confirm Password*

Phone Number

NIN*

Username or Email*

Upload Passport Photograph(JPG)

Date of Birth

Marital status

SingleMarried

Divorced

State of origin*

Local government

Home Town Address

Facebook username

Qualification

Course of study

Upload Certificate(PDF format only)*

Signature(PNG)*

Residential address

Guarantor's name

Guarantor's State of origin

Guarantor’s Local Government

Guarantor’s Phone number*

Guarantor’s Residential address*

Only fill in if you are not human