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Avia Membership 360 Form
Welcome to the AM360 Platform. Please ensure you have read about it before proceeding with the membership process. For more information, visit
www.maman.com.ng/membership
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Email
*
Your email
Full Name
(first name first)
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Gender
*
Male
Female
Prefer not to say
Required
State of Residence
*
Choose
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Outside Nigeria
Are you already in the Aviation industry?
(Tick "Yes" if you are licensed in any field with or without a job yet)
*
Yes
No
Other:
Required
What do you do at the moment?
*
Your answer
What do you hope to benefit by being a member of this platform?
*
Your answer
What will you contribute to the platform?
*
Your answer
How did you hear about Avia Membership 360
*
Your answer
Send me a copy of my responses.
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