Coop Membership | ICOOP Member's Portal

SLB Staff Coop Membership Form

To complete registration on the platform, each coop member will have to go through identity verification. Our team will get back to you with a response once the process is completed.

Personal Information

Your basic personal information required for identification

Staff ID *

First Name *

Last Name *

Other Name

Email Address *

Please enter a valid email we will use to get back to you.

Gender *

Location *

Department *

Payroll Group *

Date of Birth *

Contact Information

Your basic contact information required for identification

State *

City *

Phone Number *

Address *

Next of Kin

Your next of kin information required for verification.

1st Next of Kin.

Full Name

Relationship

Email Address

Phone Number

Percentage

Address

2nd Next of Kin.

Full Name

Relationship

Email Address

Phone Number

Percentage

Address

Bank Information

Your basic bank information required for identification

Bank *

Bank Branch *

Savings *

Please note, minimum saving is ₦ 0.00

Account Number *

Sort Code *