Registration Form

Join our cooperative

*Please fill the below form correctly and ensure all details are accurate. Also, note that a membership registration fee of ₦20,000 is required.

Personal Information

Full Name

Marital Status

Gender

Male

Female

Date of birth

Phone Number

Email Address

Contact Information

Residential Address

City

State

Nearest Bus Stop/Landmark

State of Origin

Local Government Area

Occupation

Identification Details

Means of Identification

Driver's License

Int'l Passport

Voter's ID

ID Number

Next of Kin Information

Full Name

Phone Number

Address

PAYMENT DETAILS FOR MEMBERSHIP FEE

Transfer your membership fee amount of ₦20,000 to ANY of our bank details below.

After making the transfer, screenshot the proof of payment and upload it in the specified below the account details.

Once that is done, click "Submit Registration"

BANK NAME: Eco Bank

ACCOUNT NUMBER: 3030056468

ACCOUNT NAME: Pennshelters Multupurpose Society Limited

BANK NAME: Moniepoint Microfinance Bank

ACCOUNT NUMBER: 8223657581

ACCOUNT NAME: Pennyshelters Coop

Proof of Payment

Click to upload proof of payment

Accepted formats: JPG, PNG, PDF (Max: 5MB)

+234 9067503603

+234 9067503603