Nigerian Institute of Town Planners (NITP) Membership Data Capture

Dear Members,

The Institute is currently updating member's data and also digitizing this information to ensure we can communicate more effectively with members using different mediums.

All members are expected to kindly provide their information in the form below

PERSONAL INFORMATION

Email^*

Surname^*

First Name^*

Other Names

Date of Birth^*

Current age^*

Gender^*

Male
Female

Marital Status^*

Mobile Number^*

WhatsApp Number

Home Address

MEMBERSHIP INFROMATION

Membership Number^*

Membership Class^*

Student Member
Graduate Member
Corporate Member
Fellow Member

TOPREC Number

ACADEMIC INFORMATION

Highest Academic Qualification^*

Which institution did you attend for your highest qualification^*

Are you a member of any other professional body

Yes
No

If yes above, mention the professional bodies you're a member of

EMPLOYMENT INFORMATION

Employment Status^*

Which sector are you currently employed in

Current Employer/Organisation Name

Current Employer/Organisation Address

Address Line 1

Address Line 2

Landmark

City

State or Region

Country

Current Job Title

Area(s) of Specialisation

Have you paid your NITP dues up to date^*

Yes
No

Did you attend the last NITP National Annual Conference & AGM?^*

Yes
No

Did you receive your conference certificate via your email?^*

Yes
No

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