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Online Town Manager Application Form
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MM
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DD
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Select Type of Application Payment
*
Choose
Register Free with Nothing
Register with Something Flexible Payment
One Time
Surname
*
Your answer
First & Other Names
*
Please No Nick Names or a.k.a
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Residential Address
*
Your answer
Nationality
*
Nigerian
Foreign National
Diplomat
Required
State of Origin
*
Choose
Abia State
Adamawa State
Akwa Ibom State
Anambra State
Bauchi State
Bayelsa State
Benue State
Borno State
Cross River State
Delta State
Ebonyi State
Ekiti State
Enugu State
FCT Abuja
Gombe State
Imo State
Jigawa State
Kaduna State
Kano State
Katsina State
Kebbi State
Kogi State
Kwara State
Lagos State
Nasarawa State
Niger State
Ogun State
Osun State
Ondo State
Oyo State
Plateau State
Rivers State
Sokoto State
Taraba State
Yobe State
Zamfara State
State of Birth
*
Choose
Abia State
Adamawa State
Akwa Ibom State
Anambra State
Bauchi State
Bayelsa State
Benue State
Borno State
Cross River State
Delta State
Ebonyi State
Ekiti State
Enugu State
FCT Abuja
Gombe State
Imo State
Jigawa State
Kaduna State
Kano State
Katsina State
Kebbi State
Kogi State
Kwara State
Lagos State
Nasarawa State
Niger State
Ogun State
Osun State
Ondo State
Oyo State
Plateau State
Rivers State
Sokoto State
Taraba State
Yobe State
Zamfara State
Nearest Landmark / Bus Stop
*
Your answer
Valid email Address
*
Your answer
GSM Phone Number (Glo)
Your answer
GSM Phone Number (MTN)
Your answer
GSM Phone Number (Airtel)
Your answer
GSM Phone Number (Etisalat)
Your answer
GSM Phone Number (Visafone)
Your answer
Highest Educational Qualification
*
Secondary School
College
University
Masters
Other:
Required
Employment Status
*
Self Employed
Employed
Out of Job - Searching
Retiree
Brief History About You
*
Please tell us those things that you think can help us consider you for the job or past experiences
Your answer
International Passport No
Valid Document Please
Your answer
National I.D. Card No
Your answer
Registered Business Name
Your answer
Nature of Business
Your answer
CAC Business Registration Number
Your answer
Type of Company
Choose
Corporate
Enterprise
Office Address / Location
*
Your answer
Tax Identification No.
Your answer
Name of Bank
*
Choose
Access Bank
Citibank Nigeria Limited
Diamond Bank Plc
Ecobank Nigeria Plc
Enterprise Bank
Fidelity Bank Plc
First Bank of Nigeria Plc
First City Monument Bank Plc
Guaranty Trust Bank Plc
Heritage Banking Company Ltd.
Key Stone Bank
MainStreet Bank
Skye Bank Plc
Stanbic IBTC Bank Ltd.
Standard Chartered Bank Nigeria Ltd.
Sterling Bank Plc
Union Bank of Nigeria Plc
Unity Bank Plc
Wema Bank Plc
Zenith Bank Plc
Type of Account
*
Choose
Current Account
Savings Account
Corporate Account
Account Number
*
Your answer
Domiciled Branch
*
Your answer
Community Area/Town Requested
*
Your answer
Which State in Nigeria:
*
Your answer
Social Media Links/Accounts
*
Facebook Twitter, Google+, LinkedIn,StumbleUpon, WordPress, Blog Spot/Blogger, Others
Your answer
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