MEMBERSHIP FORM Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Applicant's name *FirstMiddleLastContact Address *State of Origin *Local Govt. Area *Country *Telephone Number *E-mail Address *Applicant's date of birth *MM/DD/YYYYEmployers NameJob Title date Employers Origin Driving ExperienceHow many years?Employment StatusSelectEmployed Full TimeEmployed Part TimeSelf EmployedUnemployedVolunteerEmployment TypeSelectPublic - Local AuthorityPublic - Fire and RescuePublic - PolicePublic - Health ServiceAcademic TeachingPrivateVoluntaryNoneMEMBERSHIP CATEGORIES *Diamond Member - N5,000,000.00 YearlyPlatinum Member - N3,000,000.00 YearlyGold Member - N1,500,000.00 YearlyNone of the aboveOTHER MEMBERSHIP CATEGORIES *Associate Member - (Required - SSCE or TRADE Certificate, Driving License & FRTS B.sc Driving Certificate)Licentiate Member - (Required - SSCE or TRADE Certificate, Driving License & FRTS B.sc Driving Certificate)Certificated Member - (Required - SSCE or TRADE Certificate, Driving License & FRTS B.sc Driving Certificate)None of the abovePAYMENT INSTRUCTIONSMake a Transfer OR Bank Deposit to the Bellow Account;BANK NAME: POLARIS BANKACCOUNT NAME: FOUNDATION FOR ROAD TRAFFIC SAFETYACCOUNT NUMBER: 1771624966SEND YOUR PAYMENT RECEIPT TO THE ADMIN WHATSAPP (+234 9155637767 OR +234 8128186323) for Confirmation/ApprovalN.B: Payment must be made before form submissionTerms & Conditions *I agree to the FRTS Terms and ConditionsI hereby agree to all the FRTS terms and regulations that apply.Submit
