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Personal Details          
           
Staff ID:   Gender: x  
           
First Name: x   Last Name: x  
           
Other Name:   Department: x  
           
Year of Birth: x   Email: x  
           
Membership Category: x        
           
Contact Details          
           
Address: x   City: x  
           
State: x   Telephone: x  
           
Next of Kin Information          
           
Full Name: x   Address:  
           
City:   State:  
           
Email:   Phone: x  
           
Next of Kin's Relationship:        
           
Bank Details          
           
Bank Name: x   Account Number: x  
           
Bank Branch:   Sort Code:  
           
BVN: x        
           
           
           
Contributions (Please, note that the minimum contribution is ₦5,000.00)        
           
Monthly Contribution:   Net Monthly Salary:  
           
           
Start Date        
           
         
           
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     

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