Student Membership Application Form

African Institute of Business Simulations (AIBS) 40B Chris Maduike Drive, Lekki Phase 1, Lagos, Nigeria. Tel. 018507969, 07055142635 Email. info@theaibs.org  Website. www.theaibs.org Date of Application:

STUDENT MEMBERSHIP APPLICATION FORM       UPLOAD YOUR PASSPORT PHOTOGRAPH: (.jpg or .gif) A. Personal Information   Title: - Select - Mr. Miss Mrs. Doctor Others         Surname:     First name:     Home Address:     Postal Address:     Date Of Birth:       Nationality: -- Select -- Nigerian Non Nigerian     State Of Origin: - Select - Non - Nigerian Abia Abuja Adamawa Akwa Ibom Anambra Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Edo Ekiti Enugu Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nassarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara     Email Address :   Sex : -- Select -- Male Female   Phone Number :   School Name & Address:   Course:   Current Year of Study (e.g. 3rd year  or final year):   School Matriculation Number:     D.  Declaration I declare that the statements made in this Application Form and in any documents supplied by me to support my application are, to the best of my knowledge and belief, factually correct and true. I understand that, should any such statements be found to be false or misleading, my registration will be subject to review and may be terminated. I also understand that should my registration be terminated, no refund of the registration fee paid to the Institute will be made. I promise to abide by the Institute's Rules. I have made payment to the AIBS by draft or by wire transfer or by debit card to cover my registration fee of N4,000 (this is not refundable).   Type the code shown below: