Signup – NSA

One-time registration fee: ₦10,000 (non-refundable).
All applications remain pending until reviewed and approved by the Secretary General.
Already an NSA member? Create your account here instead.

Personal Details

Title *

Surname *

First Name *

Other Names (if any)

Gender *

Country of Citizenship *

Phone Number (preferably WhatsApp) *

Email Address *

Professional Details

Current Status *

Subspecialty (if applicable)

Country of Practice *

Hospital or Centre (if applicable)

Department (if applicable)

NSA Membership Category

Membership Category *

Upload Relevant Documents

Upload only where applicable - the list below adjusts to the category you choose. Each file must be a PDF, JPG or PNG under 2MB.

Choose your membership category above to see which documents are needed.

Supporter Details

Please give details of two supporters. Supporters must be NSA Full Members.

Supporter 1

Full name *

Email *

Phone (preferably WhatsApp) *

Supporter 2

Full name *

Email *

Phone (preferably WhatsApp) *

Registration Fee

Pay the ₦10,000 registration fee to submit your application.

Pay onlineCard, bank or USSD, via Paystack Direct bank transferPay from your bank, then enter the details here

Declaration and Consent I confirm that I meet the requirements for the category I am applying for. * I confirm that all information provided is accurate to the best of my knowledge. * I consent to the NSA storing and processing my personal data in accordance with applicable data protection regulations. *