Society of Nigerian Broadcasters – Membership Registration

Please complete the form carefully. Fields marked * are required.

Title *

Full Name (Surname First) *

Other Names

Date of Birth *

Place of Birth

State of Origin *

Name of Organisation (Current/Former) *

Office Address

Location

State of Work *

City

Year of Employment *

Year Retired (if applicable)

Category of Membership * Selecting a category will pop up the requirements.

Email *

Mobile Number (WhatsApp No.) * Use international format starting with country code, e.g. 2348012345678.

You can add multiple academic qualifications before submitting.

Institution *

Certificate Obtained *

Year *

Upload Doc

You can add multiple positions held before submitting.

Department/Position *

Organisation *

Period *

Passport Photo * JPEG/PNG only. Passport photo is compulsory.

Reference Form (optional)

Mode of Payment *

Pay Online (Paystack)

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