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info@nacotan.org.ng
Liaison Office : 7th Floor, Labour House, Central Business District
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Individual Farmer / Small Scale Registration
Group Membership Biodata
Large Scale Farmer Membership Form
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Step
1
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Name
*
First
Last
Email
*
Phone
Date of Birth
Address
Address Line 1
City
State / Province / Region
Local Government
Town/Village
Type of Business
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Are you a member of other associations local or international?
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Yes
No
Have you ever minded abroad in respect of cotton business?
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Yes
No
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Group ID No.
Group Name
Total no in Group
L.G.A Name
Ward Name
Village
Name
*
First
Middle
Last
Date of Birth
Mothers Maiden Name
Next of Kin
Phone Number
Address
Address Line 1
City
State / Province / Region
Submit
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Step
1
of 2
Name
*
First
Last
Address
Address Line 1
City
State / Province / Region
Gender
Male
Female
Size of Farm (50 Hectres & Above)
Next
Bank
BVN No.
Tel No.
Email
Checkboxes
I hereby testify that all the information I give in this form is true and correct and accept the terms and conditions of NACOTAN. *
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