Create an account
Fill the below form to create a new account.
Firstname (Required)
Firstname
Middlename
Middlename
Surname
Surname
IPPIS NUMBER/SERVICE NUMBER (REQUIRED)
IPPIS NUMBER
EMAIL (REQUIRED)
Email
MDA (REQUIRED)
Password
Choose Profession
Password
-Please Select-
Others
Teacher/Lecturer
Medical Doctor
Judge
NIN NUMBER (REQUIRED)
Password
PASSWORD (REQUIRED)
Password
CONFIRM PASSWORD (REQUIRED)
Confirm Password
DATE OF BIRTH (REQUIRED)
Password
DATE OF FIRST APPOIINTMENT (REQUIRED)
Password
I accept the terms & conditions.
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