NameUpload Passport*Contact AddressNationalityDate of BirthOccupationSexHave you paid your application fee? SelectYesNoState your Deposit Slip number, Date of payment and Bank of domicileIf you paid using other epayment options, state the details of transferBefore now, were you either a Member or a Partner of African Economic Empowerment initiative?SelectYesNoMemberPartnerHave you ever been in any form of business :SelectYesNoIf yes, what type of business?SelectCommercialManufacturingExtractiveServicesOthersYour highest Education levelSelectSSCEONDHNDB.Sc.PGDMastersPh.DYear of GraduationHow long have you been in businessHow many staff have you?How did you raise your start-up seed money?Is the business still in existence and functioning?SelectYesNoIn this conference, which area would you prefer from our list of developed businesses and plans?SelectCommercial IndustryManufacturing IndustryExtractive IndustryService IndustryOthersOthersWhich Regional Centre would you choose for the conference?SelectLagosAbujaPort HarcourtOther InformationPhoneNational Identification Number NIN (if you are a Nigeria)Date of Issuance Date of expiryEmail AddressSubmit
