Conference of Online Publishers in Akwa Ibom

Application Form

Apply to join COOPA. Note: Payment is non-refundable and membership is subject to approval.

Full Name

Gender

Date of Birth

Phone Number (WhatsApp Enabled)

Alternative Phone Number

Local Government Area (LGA)

Highest Qualification (SSCE, BSc, MSc, PhD etc)

Professional or Work Platform

Social Media Handles (Facebook, X (Twitter), Instagram, etc.)

Referee (COOPA Member - Name and Contact)

Why do you want to join COOPA?

Email address

Password

Confirm password

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