PEPE Cooperative
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Membership Registration
Online Registration
Complete the form in steps. Choose
Transfer
or
Paystack
to pay the registration fee.
Registration Fee
₦1,000.00
1. Bio
2. Address
3. Uploads
4. Payment
5. Review
Secure submission
Processing… Please wait.
Bio Data
Tell us about you. Fields marked
*
are required.
Member Category
*
Individual
Corporate
Choose the type of membership you are registering for.
Full Name
*
Surname (optional)
Other Names (optional)
Date of Birth (optional)
Gender (optional)
— Select —
Male
Female
Other
Marital Status (optional)
— Select —
Single
Married
Divorced
Widowed
Occupation (optional)
Employer (optional)
Phone
*
Email
*
Ensure you can access this email. Acknowledgement will be sent after submission.
Referral Code (optional)
Address & Next of Kin
Provide your address and next of kin details (optional where applicable).
Residential Address
State
LGA
Next of Kin Full Name (optional)
Relationship (optional)
Next of Kin Phone (optional)
Next of Kin Address (optional)
Bank Name (optional)
Bank Account Number (optional)
Bank Account Name (optional)
Uploads & Identification
Upload supporting documents (optional where indicated).
Passport Photo
Allowed: JPG/PNG. Max 5MB.
ID Card / Govt ID
Allowed: JPG/PNG/PDF. Max 5MB.
ID Type (optional)
— Select —
NIN
International Passport
Driver’s License
Voter’s Card
Staff ID
Other
ID Number (optional)
Payment
Select your payment method. Activation happens after payment is confirmed.
Payment Method
*
Transfer
Paystack (Card/Bank)
Your account will be activated only after payment is confirmed. Admin can suspend/deactivate if needed.
Bank Transfer Details
Bank:
First Bank
Account Name:
PEPE Multipurpose Cooperative Society
Account Number:
3113037758
Please transfer the registration fee to the above account and upload the proof.
Transfer Proof (optional)
Allowed: JPG/PNG/PDF. Max 5MB.
Amount
₦1,000.00
Paystack Status
Available
If you choose Paystack, you’ll be prompted to pay before final submission.
Review & Submit
Confirm your details before submitting.
Member Category
Full Name
Surname
Other Names
DOB
Gender
Marital Status
Occupation
Employer
Phone
Email
Referral
Address
State
LGA
Next of Kin
Relationship
NOK Phone
NOK Address
ID Type
ID Number
Bank Name
Account No
Account Name
Passport
ID Card
Payment Method
Transfer Proof
I confirm that the information provided is accurate.
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Need help? Contact support at
info@pepecooperative.org
.