UNITED NIGERIAN YOUTHS CONGRESS (UNYC)
ONLINE MEMBERSHIP REGISTRATION FORM
Name:
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First and Middle Name(s)
Surname
Nationality:
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Example: Nigerian
Age Group:
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18-30
31-45
46 & Above
Home Address:
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State of Origin:
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Abia
Adamawa
Anambra
Akwa Ibom
Bauchi
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Imo
Jigawa
Kaduna
Kano
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Kebbi
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Lagos
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Niger
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Local. Govt. Area:
Gender:
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E-mail Address:
Marital Status:
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Phone Number (s)
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E.g.: 08027000001, kindly indicate country code for lines outside Nigeria
Social Media Handles:
Enter your various socials handles here: e.g. Twitter: @United_Youths ...
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