NIGERIAN INSTITUTE OF MANAGEMENT
(CHARTERED)
MEMBERSHIP INDUCTION PROGRAMME (MIP):
GRADUATE, ASSOCIATE AND MEMBER GRADES
ONLINE REGISTRATION

IF YOU ARE A CORPER DO NOT REGISTER HERE
 
Reference Number:    
Examination Number:    
 
Teller Number:

Amount Paid:

Name of Bank:

Date of Payment: e.g. yyyy-mm-dd

 
Surname (In full):    
First Name:    
Other Names (In full):    
Title (e.g. Mr.):    
Gender:    
Current City:    
Membership Grade:    
 
current Postal Address:    
State of Origin:    
Date of Birth: e.g. yyyy-mm-dd     
Telephone:

Mobile (GSM):
E-mail Address:    
Profession e.g. Engineering, Law, Teaching etc.    
Preferred Induction Venue: select your choice
Preferred Chapter: select your choice    
 
Institution(s) Attended
 NAME OF INSTITUTION:

QUALIFICATION OBTAINED:

YEAR:

1.


2.

 
Current Work Experience
 NAME OF ORGANIZATION:

ADDRESS OF ORGANIZATION:

POSITION HELD:

YEAR:

 
Previous Work Experience
 NAME OF ORGANIZATION:

ADDRESS OF ORGANIZATION:

POSITION HELD:

YEAR:

1.


2.

 
  NOTE: Check carefully all the details / enteries you have entered above for correctness before clickng on the SUBMIT button below, this is because correction would not be possible afterwards

 
  Very Important: P L E A S E, click on the SUBMIT DATA button only ONCE, and wait till the next page that displays your records appears.