Agent request

OYSHIA Agent Request

Enter the referral details below
Referral First Name
Please enter the details of your referral
Referral First Name
Field is required!
Field is required!
Please enter the details of your referral
Referral Last Name
Field is required!
Field is required!
Referral Phonenumber
Field is required!
Field is required!
Address/Meet Up Point
Where can our agents visit your referral?
Address/Meet Up Point
Field is required!
Field is required!
Referral Local Govt Area
Referral LGA
Field is required!
Field is required!
Current State
Your State
Field is required!
Field is required!
Gender
  • - select a option -
  • Male
  • Female
- select a option -
Field is required!
Field is required!
Which one of the following best describes the referral status?
  • - select a option -
  • Referral is ready to sign up
  • Referral needs more information on the scheme
- select a option -
Field is required!
Field is required!
Your Full Name
Field is required!
Field is required!
Telephone Number
Your Phonenumber
Field is required!
Field is required!
I certify that I have engaged the referral listed above and have their consent to request an agent visit
Please ensure you've read the job description
Please ensure you've read the job description

Help & Support

Would you rather talk to us? Tell us about your project today, let’s get started.
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Call Us

+234 817 000 3285
+234 809 666 3285

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Location

7, Elegbeleye Street Ikosi Ketu Lagos Nigeria

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Email Us

info@studenthubng.com
client@studenthubng.com