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SOLAR-TECH NIGERIA ENTERPRISES
REGISTRATION FORM FOR SOLAR POWER INSTALATION
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* Indicates required question
FULLNAME
*
Your answer
SEX
*
MALE
FEMALE
AGE
*
MM
/
DD
/
YYYY
DISABILITY?
Yes
No
Clear selection
PHONE NUMBER
*
Your answer
WHATSAPP
Your answer
STATE OF RESIDENCE
*
Your answer
STATE OF ORIGIN
*
Your answer
EMAIL ADDRESS
*
Your answer
MARITAL STATUS
*
SINGLE
MARRIED
Other:
CITY OF RESIDENCE
*
Your answer
LOCAL GERNMENT AREA
*
Your answer
STATE
*
Your answer
ADDRESS
*
Your answer
TYPE OF EMPLOYMENT
Your answer
YEARS OF WORKING EXPERIENCE
Your answer
EDUCATIONAL QUALIFICATION
Choose
SSCE
ND/NCE
BSC/HND
POST GRADUATE
OTHER
YEAR OF GRADUATION (if applicable)
Your answer
BUSSINESS ACTIVITIES
Your answer
MODE OF PAYMENT
*
Your answer
CLIENT BANK DETAILS
INSERT YOUR BANK NAME, ACCOUNT NUMBER AND BVN
BANK NAME
*
Your answer
ACCOUNT NUMBER
*
Your answer
BVN
*
Your answer
MEANS OF IDENTIFICATION
VOTERS CARD
NATION ID
DRIVERS LICENSE
Other:
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