AAS MEMBERSHIP FORM

Eligibility criteria:
HND (Animal Production) with at least 8 years post qualification experience.

TITLE *

Surname *

Other Names *

Mailing Address *

Email *

Phone *

Date of Birth *//

State of Origin/LGA *

Mother's maiden name *

Change of Name(if applicable)

Click or drag files to this area to upload. You can upload up to 3 files.

Higher National Diploma Obtained *

Year of Graduation *

Area of Specialization *

Discipline of Interest 1 *

Discipline of Interest 2 *

Discipline of Interest 3 *

Educational Certificates Obtained(Higher National Diploma mandatory) *

Click or drag files to this area to upload. You can upload up to 5 files.

Passport Photograph *

Click or drag a file to this area to upload.

Attach recent passport size photo

ASAN Membership Certificate *

Click or drag files to this area to upload. You can upload up to 5 files.

ASAN Membership certificate/Receipt/Teller

Occupation

Organization

Address of your Organization

Business of your organization

Years of Experience

AAS Membership Applicatiom Payment Receipt *

Click or drag a file to this area to upload.

Membership of Professional Bodies established by an enabling ACT

Click or drag files to this area to upload. You can upload up to 8 files.

Current position

Membership of any affiliated Animal Science Association

Click or drag files to this area to upload. You can upload up to 5 files.

SPONSORS AND AFFIDAVIT *

Click or drag a file to this area to upload.

Download the sponsor and affidavit form by copying this link https://nias.gov.ng/wp-content/uploads/2022/07/SPONSORS-AND-AFFIDAVIT.pdf to address bar of your browser. Ensure your sponsor sign the form by hand, declare your affidavit and then scan the filled form and upload. Please note that scanned signature of sponsors and declarant is NOT ACCEPTABLE

AAS MEMBERSHIP FORM

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