Cyber-Cafe & Computer Business Association of Nigeria Application Form

Cyber-Cafe & Computer Business Association of Nigeria (CCBAN) Membership Update Registration Form

This application form is to enable us to get the updated records of our member across the country, please ensure all information supply here is correct and confirmed. All information supplied will be verified. Thanks.
*
Full Name*

TitleFirst NameMiddle NameLast Names
Date of Birth*

MonthDayYear
Applying As *

MD/CEOCompanyOther
Permanent Home Address *
House address
Address Line 2
City/LGA Origin*
Stateof Origin*
Phone 1*

Area CodePhone Number
Whatsapp Phone Number

Area CodePhone Number
E-mail*
How did you hear about the association??
Business Information

This Section is to ensure you are fit to operate as Cyber Cafe, Computer Business Operator, Computer Engineering Workshop and Computer Training Institute etc. All details submitted here will be forwarded to the relevance partners for consideration of any opportunity or MOU to be sign. Ensure the information's are true and correct.
Date Business Start Operation*

MonthDayYear
Date of Business Incorporated with Corporate Affairs Commission (CAC)*

MonthDayYear
Cafe Name/Business Name*
Enter Name of your business Show in CAC Ceertificate
Full Address of the Business (or Street Parameters)*
enter full address of your cafe, workshop, business location
Address Line 2
Upload your Corporate Affairs Commission (CAC) Certificate*

Browse CAC Certificate
You add more than one documents. Cancelof
City/LGA*
BUSINESS OPERATING STATE*
Number of Systems (Computers) in your shop*
How many Computers do you have?
Number of Printers in you shop ?*
How many Computers do you have?
How many shops do you have?
How many Staff are working in your business office?
How Many Boys?
How Many Girls?
Name of your Manager
name of your manager, who is in charge of your business or managing your business
Phone Number of your Manager
mobile number of the person managing your business
Business Office*

Own BuildingRent
Business Office*

PlazaShopContainerkiosbar-chatother
Choose your main services (Note: you can choose as much as you offer)*

Cyber Cafe OnlyJamb CBT Center owner (Service)Cyber Cafe & TypistOnly TypingPhotocopyComputer Training InstituteComputer EngineeringPrinter EngineeringSales of ComputerSales of PrintersSale of Computer AccessoriesEvent ManagementGraphics DesignWeb DesignCCTV Installation
Do you wish to be a financial Member of this Association?

YesNo
Can you sacrifice for the success of this association?

YesNo
Can you be constant in the meeting of this association anytime you are invited, physical and online?

YesNo
Other - Please list
Please provide in details ways we can achieve one prosperous association, which you will be proud to be member and give us any additional information or comments
Please verify that you are human*
Signature*

Sign in the box
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Cyber-Cafe & Computer Business Association of Nigeria (CCBAN) Membership Update Registration Form

Business Information