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Registration Form

Personal Details
* StaffID: * Gender:
* First Name: * Last Name:
Other Name: * Department:
Year of Birth: * Email:

Contact Details
* Address: * City:
* State: Telephone:

Next of Kin
Full Name: Kin Address:
City: State:
Email: Phone:
Next of Kin's Relationship:

Bank Details
* Bank Name: * Account No:
Bank Branch: Sort Code:

Contributions
* Savings: Min Savings: 50000

 

Help Desk
We are available to answer your questions

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Telephone: +234 (0)803 905 2251.


E-mail:
coop.customercare@nlng.com
(Enquiries, Complaints & all Internal Communications)
nlng.coop@nlng.com
(For External Communications & Corporate Wide Information)

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Membership Population: 1511

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