Become A Member
By visiting this page, it shows your interest in becoming a member.
This wizard will guide you to successfully submit your details for processing.
Home
SCHEME & EMPLOYER
Provide employer and cost center details
Scheme
Employer
PERSONAL DETAILS
Provide personal information details
Title
Select Title ...
Prof
Dr
Mr
Mrs
Rev
Hon
Eng
Ms
First Name
Last Name
Other Names
Gender
Select...
Male
Female
Unknown
Marital Status
Select...
Single
Married
Separated
Divorced
Widowed
Abandoned
Not Specified
Date of Birth
National ID
Other Identification Type
Select...
Passport No
Voter ID
NHIS
Driver's License
Policy Number
Other Identification Number
Nationality
CONTACT INFORMATION
Provide address and location details
Primary Phone
Secondary Phone
Email
Postal Address
Residential Address
Road
Town
Country
PLACE OF BIRTH INFORMATION
Provide place of birth details
Place of Birth
Traditional Authority
Village
HOME ADDRESS INFORMATION
Provide permanent home address details
District
Traditional Authority
Village
EMPLOYMENT INFORMATION
Provide employment details
Employed?
Select...
Yes
No
Staff Number
National Pension Number
Designation
Department
Date Of Appointment
Current Monthly Salary
DOCUMENTS
Attach documents
National ID, Beneficiary List, Any Other relevant document. For quick approval, give your files appropriate names before uploading
Finish
Declaration
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