Realtors Registration Form
USERNAME
REFERER
FIRST NAME
LAST NAME
PHONE
EMAIL
DATE OF BIRTH
Celebrate me on my Birthday
GENDER
--Select Gender--
Male
Female
ADDRESS
COUNTRY
Nigeria
STATE
Select State
Abia State
Adamawa State
Akwa Ibom State
Anambra State
Bauchi State
Bayelsa State
Benue State
Borno State
Cross River State
Delta State
Ebonyi State
Edo State
Ekiti State
Enugu State
FCT
Gombe State
Imo State
Jigawa State
Kaduna State
Kano State
Katsina State
Kebbi State
Kogi State
Kwara State
Lagos State
Nasarawa State
Niger State
Ogun State
Ondo State
Osun State
Oyo State
Plateau State
Rivers State
Sokoto State
Taraba State
Yobe State
Zamfara State
LOCAL GOVERNMENT
Select State
ACCOUNT NAME
Account Number
BANK
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PASSWORD
CONFIRM PASSWORD
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