SNSN Membership Registration

Sen. Natasha Supporters Network

Please complete all required fields. Fields marked with * are required.

1 Choose Membership Type *

Regular Member

Standard SNSN Membership.

FREE

Executive Member

Executive SNSN Membership.

FREE

2 Personal Information

Full Name *

Email Address *

Phone Number *

Residential Address

3 Additional Information

Date of Birth *

Occupation

Religion

State of Origin *

LGA of Origin *

4 Mode of Identification

Identification Type *

Identification Number

5 Passport Photograph *

Upload a clear passport photograph.

JPG, PNG or WEBP. Maximum 5MB.

6 Login Password

🔐 Create a password that you will remember. After administrator approval, you will log in using your membership registration number and this password.

Password *

7 Next of Kin (Optional)

Next of Kin Name

Next of Kin Phone

Relationship

Next of Kin Address

8 Consent *

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