Register - Staff Multi-Purpose Cooperative Society University of Benin Teaching Hospital

Existing member?

If you have been a member of the University of Benin Teaching Hospital Staff Multi-Purpose Cooperative Society and do not have an account on this platform, use the form below to unlock your account.

New member registration

If you wish to join the University of Benin Teaching Hospital Staff Multi-Purpose Cooperative Society, kindly fill the form below and submit. Your application will be treated in good time. Thank you.

Surname *

First Name *

Address *

Phone number *

Email Address *

Password *

Confirm password *

Present Rank

Department

IPPIS number

PE Number

Gender *

Marital Status *

File Number

Next of Kin 1

Relationship

Next of Kin 2

Relationship

Father's name

Mother's name

Monthly Contribution *

Photo *

Answer here

This cannot be undone, do you REALLY want to delete this?