Registration/Upload of Evidence of PaymentPlease complete the form below to register on the WACP Nigeria Chapter website (You may be required to upload evidence of past payments - if any) Faculty * - Select -Community HealthFamily MedicineInternal MedicineLaboratory MedicinePaediatricsPsychiatry Specialty* Specialty* - Select -CardiologistChemical PathologistClinical Pharmacology & TherapeuticsDermatologistEndocrinologistFamily MedicineGastroenterologistGeneral DentistryGeriatricsHaematologistHaemato PathologistHistopathologistInfectious DiseasesInternal MedicineMedical MicrobiologistMental HealthNephrologistNeurologistOncologistChemo OncologistOral and Maxillofacial PathologyPaediatricianPathologistPeriodontistPsychiatristPublic Health PhysicianPulmonologistRadiologistRheumatologistOther… Enter other… Place of Work * State of Work * - Select -LagosFCT - AbujaRiversAnambraEnuguAkwa IbomAdamawaAbiaBauchiBayelsaBenueBornoCross RiversDeltaEbonyiEdoEkitiGombeJigawaKadunaKanoKatsinaKebbiKogiKwaraNasarawaNigerOgunOndoOsunOyoPlateauSokotoTarabaYobeZamfara Status * - Select -Life Fellow Fellow MemberFellowship By ProgressionFellowship By Election When did you pass part one? * Have you started paying your annual dues? * Yes No Paid up to which Year? * Paid up to which Year? *: Year Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986 Uploading evidence of payment ensures that verification can be speedily done. Upload Evidence* One file only.2 MB limit.Allowed types: jpg png pdf doc svg zip. Upload Other Evidence One file only.2 MB limit.Allowed types: jpg png pdf doc docx ppt svg. Title * - Select -Dr. Registrant Details First Name Last Name Email Email Confirm Email Phone Number Date of Birth * Amount (Processing Fee) Amount (NGN) Payment
