AFMLSSA

Membership Forum

Student Registration

STUDENT DETAILS

First Name *

Last Name *

Gender

Male
Female
Other

PHYSICAL ADDRESS

Address

/120 characters

City

State

Country

Course

School/University

Degree Pursuing

School Registration No/ School Matric No/ School Identification No/

Declaration *I certify that I'm enrolled in the institution above

SOCIAL MEDIA HANDLES

Please share your social media handles to connect with other AFMLSSA members.

LinkedIn Username

Instagram Username

Facebook Link/ Username

Twitter Username

LOGIN DETAILS

Student email address *

Confirm student email address *

Password *

Confirm Password *

Institution Registration

INSTITUTION DETAILS

Name

Principal Area of Operation

Ownership

Level of Operation

Website Address

Phone Numbers

PHYSICAL ADDRESS

Street Address

City

Country

CONTACT PERSONS

Contact Person Last Name/ Surname

Contact Person First Name

Contact Person Phone Number

Contact Person Designation

Interest/Expertise

/120 characters

Please indicate your area of expertise and what services you can render to AFMLSSA. Examples are but not limited to: mentorship, student grants, scholarships, financial support, grant writing, proposal development.

SOCIAL MEDIA HANDLES

Please share institution social media pages

Instagram Username

Facebook Link/Username

Twitter Username

LinkedIn Link/Username

LOGIN DETAILS

username *

Email *

Password *

Confirm Password *