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Membership Registration

Title

First Name

Middle Name

Last Name

Date of Birth

Gender

Email Address

Phone Number

Address

Membership Type

Membership Fee

Name of Institution

Course of Study

Expected Graduation Year

Name of Organization

Years of Experience

Current Position

Professional Certifications

Company Name

Business Sector

Registration Number

Address

Contact Person

Position

Payment Method

Why Join IESM?

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I agree to the terms and conditions.

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Kindly follow the instructions below to ensure your application is submitted correctly:

Fill out all required fields marked with a red asterisk (*). Incomplete forms will not be processed.
Select the appropriate membership type
Ensure your contact details are correct, especially your email and phone number, as we will use these to communicate with you.
Review the membership fee displayed after selecting your membership type. This fee must be paid to complete your registration.
Choose your preferred payment method – either:
- Pay Online (Paystack)
- Bank Transfer
Check the box to gree to the terms and conditions
Click the “Submit & Pay” button to complete your registration.

If you experience any issues, please contact us at info@ciesmglobal.com or call 07064451357.

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