GlifCollect - NIS-COI Registration

Please provide us with your state of origin and local government area.

State:

L.G.A:

Ward:

Provide your personal information for identification.

First Name

Middle Name

Last Name

Title

Gender

Date of Birth

Phone No.

Provide us with your email and password to setup your account.

Email

Enter Your Password

Password must be at least 8 characters

Re-enter Your Password

Password must be at least 8 characters

A validation code will be sent to the provided email. Click Submit to proceed.