Registration - Miss Agriculture Nigeria

Miss Agriculture Nigeria Contest Registration Form

NOTE: before Filling This Form

Contestant MUST BE BETWEEN THE AGES OF 18 AND 28 YEARS OLD
The Contest is for Nigeria Citizens Only
Contestant Must Reside in Nigeria
BE OF GOOD HEALTH
Contestant must be ready to be Fully involve in Agriculture.
Contestant must be ready to Abide by all the Rules Governing this Contest.
NOT BE MARRIED

Full Name *

Email *

Amount (NGN) *

Minimum payable amount NGN 5,000

Enter Contact Address *

State of Origin *

Enter LGA *

Enter Phone Number *

Enter Date of Birth *

Enter Occupation *

Educational Qualification

Enter Hobbies/Interest

Enter Statistics

Do you have Experience in Agriculture?

YesNo

If Yes

Enter Your Experience

Enter a Brief details about you *

Enter Parent/Guardian Full Name

Enter Parent/Guardian Phone Number

Enter Parent/Guardian Contact Address

Upload your Full Image

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Declaration

I hereby certify that the information given above is correct to the best of my knowledge I should be held responsible for any false information supplied

* are compulsory
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