AOCOSA Membership Registration

Section 1: Personal Information

Full Name

Please enter your full name

Date of Birth

Please select your date of birth

Gender

Male Female Other

Please select your gender

Marital Status

Current Residential Address

Please enter your address

Phone Number

Please enter a valid phone number

Email Address

Please enter a valid email address

Section 2: Educational Background

Years Attended Adeola Odutola College (e.g., 1989–1995)

Please enter your years of attendance

Class Set (e.g., 1995)

Please enter your class set

School House

Blue Green Maroon Red White Yellow

Please select your school house

Clubs or Societies Participated In (Optional)

Section 3: Current Profession/Career

Occupation/Profession

Organization/Business Name

Current Position

Work Address

Section 4: Social Media Handles (Optional)

Facebook Profile URL

LinkedIn Profile URL

Instagram Handle

Twitter/X Handle

Section 5: Membership Details

Are you a financial member?

Yes No Intending to become one

Please select an option

Would you like to volunteer for AOCOSA activities/projects?

Yes No

Preferred Communication Channel

WhatsApp Email Phone Call SMS

Section 6: Payment (If Applicable)

Have you paid your annual dues?

Yes No

Amount Paid

Date of Payment

Payment Method

Payment Reference or Receipt Number

Upload Payment Receipt (Optional)

Section 7: Declaration

I confirm that the information provided is accurate and complete.

You must accept the declaration

Signature (Type your full name)

Please provide your signature

Date of Submission