2. Complete your BVN Enrollment Pre-Registration Form Title* Please Select Dr Mr Mrs Ms Miss Prof Chief
First name*
Middle name
Surname*
Marital Status* Please Select Single Married Widower Widow Divorcee Separated
Gender* Date of Birth* Nationality* Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
State of Origin* Please Select Abia State Adamawa State Akwa Ibom State Anambra State Bauchi State Bayelsa State Benue State Borno State Cross River State Delta State Ebonyi State Edo State Ekiti State Enugu State FCT Gombe State Imo State Jigawa State Kaduna State Kano State Katsina State Kebbi State Kogi State Kwara State Lagos State Nasarawa State Niger State Ogun State Ondo State Osun State Oyo State Plateau State Rivers State Sokoto State Taraba State Yobe State Zamfara State
LGA of Origin - Abia State* Please Select Aba North Aba South Arochukwu Bende Ikwuano Isiala Ngwa North Isiala Ngwa South Isuikwuato Obi Ngwa Ohafia Osisioma Ugwunagbo Ukwa East Ukwa West Umuahia North Umuahia South Umu Nneochi
LGA of Origin - Adamawa State* Please Select Demsa Fufure Ganye Gayuk Gombi Grie Hong Jada Larmurde Madagali Maiha Mayo-Belwa Michika Mubi North Mubi South Numan Shelleng Song Toungo Yola North Yola South
LGA of Origin - Akwa Ibom State* Please Select Abak Eastern Obolo Eket Esit-Eket Essien Udim Etim-Ekpo Etinan Ibeno Ibesikpo-Asutan Ibiono-Ibom Ika Ikono Ikot Abasi Ikot Ekpene Ini Itu Mbo Mkpat-Enin Nsit-Atai Nsit-Ibom Nsit-Ubium Obot-Akara Okobo Onna Oron Oruk Anam Udung-Uko Ukanafun Uruan Urue-Offong/Oruko Uyo
LGA of Origin - Anambra State* Please Select Aguata Anambra East Anambra West Anaocha Awka North Awka South Ayamelum Dunukofia Ekwusigo Idemili North Idemili South Ihiala Njikoka Nnewi North Nnewi South Ogbaru Onitsha North Onitsha South Orumba North Orumba South Oyi
LGA of Origin - Bauchi State* Please Select Alkaleri Bauchi Bogoro Damban Darazo Dass Gamawa Ganjuwa Giade Itas/Gadau Jama'are Katagum Kirfi Misau Ningi Shira Tafawa Balewa Toro Warji Zaki
LGA of Origin - Bayelsa State* Please Select Brass Ekeremor Kolokuma/Opokuma Nembe Ogbia Sagbama Southern Ijaw Yenagoa
LGA of Origin - Benue State* Please Select Ado Agatu Apa Buruku Gboko Guma Gwer East Gwer West Katsina-Ala Konshisha Kwande Logo Makurdi Obi Ogbadibo Ohimini Oju Okpokwu Oturkpo Tarka Ukum Ushongo Vandeikya
LGA of Origin - Borno State* Please Select Abadam Askira/Uba Bama Bayo Biu Chibok Damboa Dikwa Gubio Guzamala Gwoza Hawul Jere Kaga Kala/Balge Konduga Kukawa Kwaya Kusar Mafa Magumeri Maiduguri Marte Mobbar Monguno Ngala Nganzai Shani
LGA of Origin - Cross River State* Please Select Abi Akamkpa Akpabuyo Bakassi Bekwarra Biase Boki Calabar Municipal Calabar South Etung Ikom Obanliku Obubra Obudu Odukpani Ogoja Yakuur Yala
LGA of Origin - Delta State* Please Select Aniocha North Aniocha South Bomadi Burutu Ethiope East Ethiope West Ika North East Ika South Isoko North Isoko South Ndokwa East Ndokwa West Okpe Oshimili North Oshimili South Patani Sapele Delta Udu Ughelli North Ughelli South Ukwuani Uvwie Warri North Warri South Warri South West
LGA of Origin - Ebonyi State* Please Select Abakaliki Afikpo North Afikpo South Ebonyi Ezza North Ezza South Ikwo Ishielu Ivo Izzi Ohaozara Ohaukwu Onicha
LGA of Origin - Edo State* Please Select Akoko-Edo Egor Esan Central Esan North-East Esan South-East Esan West Etsako Central Etsako East Etsako West Igueben Ikpoba-Okha Oredo Orhionmwon Ovia North-East Ovia South-West Owan East Owan West Uhunmwonde
LGA of Origin - Ekiti State* Please Select Ado-Ekiti Efon Ekiti East Ekiti South-West Ekiti West Emure Gbonyin Ido-Osi Ijero Ikere Ikole Ilejemeje Irepodun/Ifelodun Ise/Orun Moba Oye
LGA of Origin - Enugu State* Please Select Aninri Awgu Enugu East Enugu North Enugu South Ezeagu Igbo Etiti Igbo Eze North Igbo Eze South Isi Uzo Nkanu East Nkanu West Nsukka Oji River Udenu Udi Uzo Uwani
LGA of Origin - FCT* Please Select Abaji Bwari Gwagwalada Kuje Kwali Municipal Area Council
LGA of Origin - Gombe State* Please Select Akko Balanga Billiri Dukku Funakaye Gombe Kaltungo Kwami Nafada Shongom Yamaltu/Deba
LGA of Origin - Imo State* Please Select Aboh Mbaise Ahiazu Mbaise Ehime Mbano Ezinihitte Ideato North Ideato South Ihitte/Uboma Ikeduru Isiala Mbano Isu Mbaitoli Ngor Okpala Njaba Nkwerre Nwangele Obowo Oguta Ohaji/Egbema Okigwe Orlu Orsu Oru East Oru West Owerri Municipal Owerri North Owerri West Unuimo
LGA of Origin - Jigawa State* Please Select Auyo Babura Biriniwa Birnin Kudu Buji Dutse Gagarawa Garki Gumel Guri Gwaram Gwiwa Hadejia Jahun Kafin Hausa Kaugama Kazaure Kiri Kasama Kiyawa Maigatari Malam Madori Miga Ringim Roni Sule Tankarkar Taura Yankwashi
LGA of Origin - Kaduna State* Please Select Birnin Gwari Chikun Giwa Igabi Ikara Jaba Jema'a Kachia Kaduna North Kaduna South Kagarko Kajuru Kaura Kauru Kubau Kudan Lere Makarfi Sabon Gari Sanga Soba Zangon Kataf Zaria
LGA of Origin - Kano State* Please Select Ajingi Albasu Bagwai Bebeji Bichi Bunkure Dala Dambatta Dawakin Kudu Dawakin Tofa Doguwa Fagge Gabasawa Garko Garun Mallam Gaya Gezawa Gwale Gwarzo Kabo Kano Municipal Karaye Kibiya Kiru Kumbotso Kunchi Kura Madobi Makoda Minjibir Nassarawa Rano Rimin Gado Rogo Shanono Sumaila Takai Tarauni Tofa Tsanyawa Tudun Wada Ungogo Warawa Wudil
LGA of Origin - Katsina State* Please Select Bakori Batagarawa Batsari Baure Bindawa Charanchi Dan Musa Dandume Danja Daura Dutsi Dutsin-Ma Faskari Funtua Ingawa Jibia Kafur Kaita Kankara Kankia Katsina Kurfi Kusada Mai'Adua Malumfashi Mani Mashi Matazu Musawa Rimi Sabuwa Safana Sandamu Zango
LGA of Origin - Kebbi State* Please Select Aleiro Arewa Dandi Argungu Augie Bagudo Birnin Kebbi Bunza Dandi Fakai Gwandu Jega Kalgo Koko/Besse Maiyama Ngaski Sakaba Shanga Suru Wasagu/Danko Yauri Zuru
LGA of Origin - Kogi State* Please Select Adavi Ajaokuta Ankpa Bassa Dekina Ibaji Idah Igalamela-Odolu Ijumu Kabba/Bunu Kogi Lokoja Mopa-Muro Ofu Ogori/Magongo Okehi Okene Olamaboro Omala Yagba East Yagba West
LGA of Origin - Kwara State* Please Select Asa Baruten Edu Ekiti-Kwara State Ifelodun Ilorin East Ilorin South Ilorin West Irepodun Isin Kaiama Moro Offa Oke Ero Oyun Pategi
LGA of Origin - Lagos State* Please Select Agege Ajeromi-Ifelodun Alimosho Amuwo-Odofin Apapa Badagry Epe Eti-Osa Ibeju-Lekki Ifako-Ijaiye Ikeja Ikorodu Kosofe Lagos Island Lagos Mainland Mushin Ojo Oshodi-Isolo Shomolu Surulere
LGA of Origin - Nasarawa State* Please Select Akwanga Awe Doma Karu Keana Keffi Kokona Lafia Nasarawa Nasarawa Egon Obi Toto Wamba
LGA of Origin - Niger State* Please Select Agaie Agwara Bida Borgu Bosso Chanchaga Edati Gbako Gurara Katcha Kontagora Lapai Lavun Magama Mariga Mashegu Mokwa Moya Paikoro Rafi Rijau Shiroro Suleja Tafa Wushishi
LGA of Origin - Ogun State* Please Select Abeokuta North Abeokuta South Ado-Odo/Ota Egbado North Egbado South Ewekoro Ifo Ijebu East Ijebu North Ijebu North East Ijebu Ode Ikenne Imeko Afon Ipokia Obafemi Owode Odeda Odogbolu Ogun Waterside Remo North Shagamu Yewa North (formerly Egbado North) Yewa South (formerly Egbado South)
LGA of Origin - Ondo State* Please Select Akoko North-East Akoko North-West Akoko South-East Akoko South-West Akure North Akure South Ese Odo Idanre Ifedore Ilaje Ile Oluji/Okeigbo Irele Odigbo Okitipupa Ondo East Ondo West Ose Owo
LGA of Origin - Osun State* Please Select Aiyedaade Aiyedire Atakunmosa East Atakunmosa West Boluwaduro Boripe Ede North Ede South Egbedore Ejigbo Ife Central Ife East Ife North Ife South Ifedayo Ifelodun Ila Ilesa East Ilesa West Irepodun Irewole Isokan Iwo Obokun Odo Otin Ola Oluwa Olorunda Oriade Orolu Osogbo
LGA of Origin - Oyo State* Please Select Afijio Akinyele Atiba Atisbo Egbeda Ibadan North Ibadan North-East Ibadan North-West Ibadan South-East Ibadan South-West Ibarapa Central Ibarapa East Ibarapa North Ido Irepo Iseyin Itesiwaju Iwajowa Kajola Lagelu Ogbomosho North Ogbomosho South Ogo Oluwa Olorunsogo Oluyole Ona Ara Orelope Ori Ire Oyo Oyo East Saki East Saki West Surulere
LGA of Origin - Plateau State* Please Select Barkin Ladi Bassa Bokkos Jos East Jos North Jos South Kanam Kanke Langtang North Langtang South Mangu Mikang Pankshin Qua'an Pan Riyom Shendam Wase
LGA of Origin - Rivers State* Please Select Abua–Odual Ahoada East Ahoada West Akuku-Toru Andoni Asari-Toru Bonny Degema Eleme Emuoha Etche Gokana Ikwerre Khana Obio-Akpor Ogba–Egbema–Ndoni Ogu–Bolo Okrika Omuma Opobo–Nkoro Oyigbo Port Harcourt Tai
LGA of Origin - Sokoto State* Please Select Binji Bodinga Dange Shuni Gada Goronyo Gudu Gwadabawa Illela Isa Kebbe Kware Rabah Sabon Birni Shagari Silame Sokoto North Sokoto South Tambuwal Tangaza Tureta Wamako Wurno Yabo
LGA of Origin - Taraba State* Please Select Ardo Kola Bali Donga Gashaka Gassol Ibi Jalingo Karim Lamido Kumi Lau Sardauna Takum Ussa Wukari Yorro Zing
LGA of Origin - Yobe State* Please Select Bade Bursari Damaturu Fika Fune Geidam Gujba Gulani Jakusko Karasuwa Machina Nangere Nguru Potiskum Tarmuwa Yunusari Yusufari
LGA of Origin - Zamfara State* Please Select Anka Bakura Birnin Magaji/Kiyaw Bukkuyum Bungudu Chafe Gummi Gusau Kaura Namoda Maradun Maru Shinkafi Talata Mafara Zurmi
Residential Address*
Country of Residence* Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
State of Residence* Please Select Abia State Adamawa State Akwa Ibom State Anambra State Bauchi State Bayelsa State Benue State Borno State Cross River State Delta State Ebonyi State Edo State Ekiti State Enugu State FCT Gombe State Imo State Jigawa State Kaduna State Kano State Katsina State Kebbi State Kogi State Kwara State Lagos State Nasarawa State Niger State Ogun State Ondo State Osun State Oyo State Plateau State Rivers State Sokoto State Taraba State Yobe State Zamfara State Non-Resident
LGA of Residence - Abia State* Please Select Aba North Aba South Arochukwu Bende Ikwuano Isiala Ngwa North Isiala Ngwa South Isuikwuato Obi Ngwa Ohafia Osisioma Ugwunagbo Ukwa East Ukwa West Umuahia North Umuahia South Umu Nneochi
LGA of Residence - Adamawa State* Please Select Demsa Fufure Ganye Gayuk Gombi Grie Hong Jada Larmurde Madagali Maiha Mayo-Belwa Michika Mubi North Mubi South Numan Shelleng Song Toungo Yola North Yola South
LGA of Residence - Akwa Ibom State* Please Select Abak Eastern Obolo Eket Esit-Eket Essien Udim Etim-Ekpo Etinan Ibeno Ibesikpo-Asutan Ibiono-Ibom Ika Ikono Ikot Abasi Ikot Ekpene Ini Itu Mbo Mkpat-Enin Nsit-Atai Nsit-Ibom Nsit-Ubium Obot-Akara Okobo Onna Oron Oruk Anam Udung-Uko Ukanafun Uruan Urue-Offong/Oruko Uyo
LGA of Residence - Anambra State* Please Select Aguata Anambra East Anambra West Anaocha Awka North Awka South Ayamelum Dunukofia Ekwusigo Idemili North Idemili South Ihiala Njikoka Nnewi North Nnewi South Ogbaru Onitsha North Onitsha South Orumba North Orumba South Oyi
LGA of Residence - Bauchi State* Please Select Alkaleri Bauchi Bogoro Damban Darazo Dass Gamawa Ganjuwa Giade Itas/Gadau Jama'are Katagum Kirfi Misau Ningi Shira Tafawa Balewa Toro Warji Zaki
LGA of Residence - Bayelsa State* Please Select Brass Ekeremor Kolokuma/Opokuma Nembe Ogbia Sagbama Southern Ijaw Yenagoa
LGA of Residence - Benue State* Please Select Ado Agatu Apa Buruku Gboko Guma Gwer East Gwer West Katsina-Ala Konshisha Kwande Logo Makurdi Obi Ogbadibo Ohimini Oju Okpokwu Oturkpo Tarka Ukum Ushongo Vandeikya
LGA of Residence - Borno State* Please Select Abadam Askira/Uba Bama Bayo Biu Chibok Damboa Dikwa Gubio Guzamala Gwoza Hawul Jere Kaga Kala/Balge Konduga Kukawa Kwaya Kusar Mafa Magumeri Maiduguri Marte Mobbar Monguno Ngala Nganzai Shani
LGA of Residence - Cross River State* Please Select Abi Akamkpa Akpabuyo Bakassi Bekwarra Biase Boki Calabar Municipal Calabar South Etung Ikom Obanliku Obubra Obudu Odukpani Ogoja Yakuur Yala
LGA of Residence - Delta State* Please Select Aniocha North Aniocha South Bomadi Burutu Ethiope East Ethiope West Ika North East Ika South Isoko North Isoko South Ndokwa East Ndokwa West Okpe Oshimili North Oshimili South Patani Sapele Delta Udu Ughelli North Ughelli South Ukwuani Uvwie Warri North Warri South Warri South West
LGA of Residence - Ebonyi State* Please Select Abakaliki Afikpo North Afikpo South Ebonyi Ezza North Ezza South Ikwo Ishielu Ivo Izzi Ohaozara Ohaukwu Onicha
LGA of Residence - Edo State* Please Select Akoko-Edo Egor Esan Central Esan North-East Esan South-East Esan West Etsako Central Etsako East Etsako West Igueben Ikpoba-Okha Oredo Orhionmwon Ovia North-East Ovia South-West Owan East Owan West Uhunmwonde
LGA of Residence - Ekiti State* Please Select Ado-Ekiti Efon Ekiti East Ekiti South-West Ekiti West Emure Gbonyin Ido-Osi Ijero Ikere Ikole Ilejemeje Irepodun/Ifelodun Ise/Orun Moba Oye
LGA of Residence - Enugu State* Please Select Aninri Awgu Enugu East Enugu North Enugu South Ezeagu Igbo Etiti Igbo Eze North Igbo Eze South Isi Uzo Nkanu East Nkanu West Nsukka Oji River Udenu Udi Uzo Uwani
LGA of Residence - FCT* Please Select Abaji Bwari Gwagwalada Kuje Kwali Municipal Area Council
LGA of Residence - Gombe State* Please Select Akko Balanga Billiri Dukku Funakaye Gombe Kaltungo Kwami Nafada Shongom Yamaltu/Deba
LGA of Residence - Imo State* Please Select Aboh Mbaise Ahiazu Mbaise Ehime Mbano Ezinihitte Ideato North Ideato South Ihitte/Uboma Ikeduru Isiala Mbano Isu Mbaitoli Ngor Okpala Njaba Nkwerre Nwangele Obowo Oguta Ohaji/Egbema Okigwe Orlu Orsu Oru East Oru West Owerri Municipal Owerri North Owerri West Unuimo
LGA of Residence - Jigawa State* Please Select Auyo Babura Biriniwa Birnin Kudu Buji Dutse Gagarawa Garki Gumel Guri Gwaram Gwiwa Hadejia Jahun Kafin Hausa Kaugama Kazaure Kiri Kasama Kiyawa Maigatari Malam Madori Miga Ringim Roni Sule Tankarkar Taura Yankwashi
LGA of Residence - Kaduna State* Please Select Birnin Gwari Chikun Giwa Igabi Ikara Jaba Jema'a Kachia Kaduna North Kaduna South Kagarko Kajuru Kaura Kauru Kubau Kudan Lere Makarfi Sabon Gari Sanga Soba Zangon Kataf Zaria
LGA of Residence - Kano State* Please Select Ajingi Albasu Bagwai Bebeji Bichi Bunkure Dala Dambatta Dawakin Kudu Dawakin Tofa Doguwa Fagge Gabasawa Garko Garun Mallam Gaya Gezawa Gwale Gwarzo Kabo Kano Municipal Karaye Kibiya Kiru Kumbotso Kunchi Kura Madobi Makoda Minjibir Nassarawa Rano Rimin Gado Rogo Shanono Sumaila Takai Tarauni Tofa Tsanyawa Tudun Wada Ungogo Warawa Wudil
LGA of Residence - Katsina State* Please Select Bakori Batagarawa Batsari Baure Bindawa Charanchi Dan Musa Dandume Danja Daura Dutsi Dutsin-Ma Faskari Funtua Ingawa Jibia Kafur Kaita Kankara Kankia Katsina Kurfi Kusada Mai'Adua Malumfashi Mani Mashi Matazu Musawa Rimi Sabuwa Safana Sandamu Zango
LGA of Residence - Kebbi State* Please Select Aleiro Arewa Dandi Argungu Augie Bagudo Birnin Kebbi Bunza Dandi Fakai Gwandu Jega Kalgo Koko/Besse Maiyama Ngaski Sakaba Shanga Suru Wasagu/Danko Yauri Zuru
LGA of Residence - Kogi State* Please Select Adavi Ajaokuta Ankpa Bassa Dekina Ibaji Idah Igalamela-Odolu Ijumu Kabba/Bunu Kogi Lokoja Mopa-Muro Ofu Ogori/Magongo Okehi Okene Olamaboro Omala Yagba East Yagba West
LGA of Residence - Kwara State* Please Select Asa Baruten Edu Ekiti-Kwara State Ifelodun Ilorin East Ilorin South Ilorin West Irepodun Isin Kaiama Moro Offa Oke Ero Oyun Pategi
LGA of Residence - Lagos State* Please Select Agege Ajeromi-Ifelodun Alimosho Amuwo-Odofin Apapa Badagry Epe Eti-Osa Ibeju-Lekki Ifako-Ijaiye Ikeja Ikorodu Kosofe Lagos Island Lagos Mainland Mushin Ojo Oshodi-Isolo Shomolu Surulere
LGA of Residence - Nasarawa State* Please Select Akwanga Awe Doma Karu Keana Keffi Kokona Lafia Nasarawa Nasarawa Egon Obi Toto Wamba
LGA of Residence - Niger State* Please Select Agaie Agwara Bida Borgu Bosso Chanchaga Edati Gbako Gurara Katcha Kontagora Lapai Lavun Magama Mariga Mashegu Mokwa Moya Paikoro Rafi Rijau Shiroro Suleja Tafa Wushishi
LGA of Residence - Ogun State* Please Select Abeokuta North Abeokuta South Ado-Odo/Ota Egbado North Egbado South Ewekoro Ifo Ijebu East Ijebu North Ijebu North East Ijebu Ode Ikenne Imeko Afon Ipokia Obafemi Owode Odeda Odogbolu Ogun Waterside Remo North Shagamu Yewa North (formerly Egbado North) Yewa South (formerly Egbado South)
LGA of Residence - Ondo State* Please Select Akoko North-East Akoko North-West Akoko South-East Akoko South-West Akure North Akure South Ese Odo Idanre Ifedore Ilaje Ile Oluji/Okeigbo Irele Odigbo Okitipupa Ondo East Ondo West Ose Owo
LGA of Residence - Osun State* Please Select Aiyedaade Aiyedire Atakunmosa East Atakunmosa West Boluwaduro Boripe Ede North Ede South Egbedore Ejigbo Ife Central Ife East Ife North Ife South Ifedayo Ifelodun Ila Ilesa East Ilesa West Irepodun Irewole Isokan Iwo Obokun Odo Otin Ola Oluwa Olorunda Oriade Orolu Osogbo
LGA of Residence - Oyo State* Please Select Afijio Akinyele Atiba Atisbo Egbeda Ibadan North Ibadan North-East Ibadan North-West Ibadan South-East Ibadan South-West Ibarapa Central Ibarapa East Ibarapa North Ido Irepo Iseyin Itesiwaju Iwajowa Kajola Lagelu Ogbomosho North Ogbomosho South Ogo Oluwa Olorunsogo Oluyole Ona Ara Orelope Ori Ire Oyo Oyo East Saki East Saki West Surulere
LGA of Residence - Plateau State* Please Select Barkin Ladi Bassa Bokkos Jos East Jos North Jos South Kanam Kanke Langtang North Langtang South Mangu Mikang Pankshin Qua'an Pan Riyom Shendam Wase
LGA of Residence - Rivers State* Please Select Abua–Odual Ahoada East Ahoada West Akuku-Toru Andoni Asari-Toru Bonny Degema Eleme Emuoha Etche Gokana Ikwerre Khana Obio-Akpor Ogba–Egbema–Ndoni Ogu–Bolo Okrika Omuma Opobo–Nkoro Oyigbo Port Harcourt Tai
LGA of Residence - Sokoto State* Please Select Binji Bodinga Dange Shuni Gada Goronyo Gudu Gwadabawa Illela Isa Kebbe Kware Rabah Sabon Birni Shagari Silame Sokoto North Sokoto South Tambuwal Tangaza Tureta Wamako Wurno Yabo
LGA of Residence - Taraba State* Please Select Ardo Kola Bali Donga Gashaka Gassol Ibi Jalingo Karim Lamido Kumi Lau Sardauna Takum Ussa Wukari Yorro Zing
LGA of Residence - Yobe State* Please Select Bade Bursari Damaturu Fika Fune Geidam Gujba Gulani Jakusko Karasuwa Machina Nangere Nguru Potiskum Tarmuwa Yunusari Yusufari
LGA of Residence - Zamfara State* Please Select Anka Bakura Birnin Magaji/Kiyaw Bukkuyum Bungudu Chafe Gummi Gusau Kaura Namoda Maradun Maru Shinkafi Talata Mafara Zurmi
Landmarks
Phone Number 1*
Phone Number 2
Email Address*
Special Needs (if any)
