Affiliate Partner Confirmation

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Full Name
Your Full Name
Field is required!
Field is required!
Telephone Number
Your Phonenumber
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!
Email
Your E-mail Address
Field is required!
Field is required!
Address
Your Address
Field is required!
Field is required!
Local Govt Area
Your LGA
Field is required!
Field is required!
Upload Passport Photograph
Upload Passport Photograph
Field is required!
Field is required!
Which one of the following best describes you?
  • - select a option -
  • I'm a Current Student
  • I'm a Recent Graduate
  • I'm an NYSC Member
  • I'm a Business Owner
  • Other
- select a option -
Field is required!
Field is required!
University Name
To be filled in by Current Students Only*
University Name
Field is required!
Field is required!
Business Address
For Shop Owners
Business/Shop Address
Field is required!
Field is required!
Upload Valid Identification
Upload Means Of Identification
Upload Valid Identification
Field is required!
Field is required!
I have read and understood the State coordinator description and agree to the terms stated
Please ensure you've read the job description
Please ensure you've read the job description

Help & Support

Do you have a question or enquiry? Get in touch with us

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Call Us

+234 809 666 3285
+234 817 000 3285

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Location

7, ELegbeleye Street Ikosi Ketu Lagos

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Email Us

info@studenthubng.com
admin@studenthubng.com