Parasitology and Public Health Society of Nigeria - Membership Registration

Membership Registration Application Form

Step 1: Please click browse below to upload profile picture and complete the following fields to register a new member.

Profile Picture

*Upload Profile Picture

*Username:

*Titles:

*First Name:

Middle Name:

*SurName:

*Occupation:

Awards: (separate with commmas)

*Email:

*Gender:

Male Female

Membership Year:

Zone:

Membership ID:

Position:

*Address:

Address2:

*GSM:

WhatsApp:

Facebook

Instagram:

Profile Type:

Payment Type: (Membership Registration Fee - #5,000; Annual Due - #10,000)

Payment Type:

Amount

The New Member has been Registered Successfully.