APM Party Membership Registration

Personal Details

First Name*

Last Name*

Email Address

Phone Number*

Date of Birth*

Gender*

National Identity Number (NIN)*

State of Origin/Residence*

Local Government Area (LGA)*

Ward*

Polling Unit Name*

Polling Unit Number*

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Upload a clear, recent passport photograph with a plain background.

No signature selected

Upload the member's handwritten signature (PNG/JPG on white background). This will appear on the ID card.