REGISTRATION FORM
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Thank you for your interest in the CSAAE Health Insurance Access Program.
This program helps individuals, families, communities, and organizations access available health insurance programs in Nigeria and ensures that they take full advantage of the benefits that health insurance offers.
After submitting your form, please go ahead and make payments to the account below:
Account Name: Centre for Social Awareness, Advocacy and Ethics
Account Number: 4011271081
Bank Name: Fidelity Bank
Amount: #20,000
After making payment, kindly forward your payment slip via WhatsApp to: +2347046007185.