Science Teachers
Association Of Nigeria
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DATABASE REGISTRATION FORM
Personal Information
Title :
- Choose -
Mr
Mrs
Miss
Doctor
Ass. Professor
Professor
Honourable
Chief
Pastor
Evang
Rev
Mallam
Alhaji
Alhaja
Surname :
Other Name(s) :
Date of Birth :
Day
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01
02
03
04
05
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08
09
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Month
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Nov
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Year
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1906
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1908
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1910
1911
1912
1913
1914
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1962
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1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
Gender :
Male
Female
State of Resident
-- Choose --
Abia
Adamawa
Akwa-Ibom
Anambra
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Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nassarawa
Niger
Ogun
Ondo
Osun
Oyo
Plataeu
Rivers
Sokoto
Taraba
Yobe
Zamfara
FCT-Abuja
Full Postal Address
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Marital Status :
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Single
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No. of Children :
Tel. No. :
Email :
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Cell Phone No. :
Next of Kin :
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Nationality
Nigerian
State of Origin:
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Abia
Adamawa
Akwa-Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nassarawa
Niger
Ogun
Ondo
Osun
Oyo
Plataeu
Rivers
Sokoto
Taraba
Yobe
Zamfara
FCT-Abuja
L.G.A
:
Non-Nigerian
Country:
- -
Afghanistan
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State / Province
:
Educational Qualifications
Qualifications:
Specialization:
Professional Qualifications
Qualifications:
Body/ Organization:
Employment/ Profession:
Employer/ Address:
Enrolment In STAN :
Year :
- -
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Branch :
STAN Subject Panel Membership
(not more than 3, select from the boxes below)
- -
Agric Science
Biology
Chemistry
Environ Education
Home Economics
Info & Comm Tech
Integrated Sci
Mathematics
PHE
Physics
Primary Science
Sci-Tech-Society
Teacher Edu
Technology Edu
Gender and STM
- -
Agric Science
Biology
Chemistry
Environ Education
Home Economics
Info & Comm Tech
Integrated Sci
Mathematics
PHE
Physics
Primary Science
Sci-Tech-Society
Teacher Edu
Technology Edu
Gender and STM
- -
Agric Science
Biology
Chemistry
Environ Education
Home Economics
Info & Comm Tech
Integrated Sci
Mathematics
PHE
Physics
Primary Science
Sci-Tech-Society
Teacher Edu
Technology Edu
Gender and STM
Position Held
Position's Level:
- Choose -
Branch
National
International
Year:
- -
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Post:
STAN Representations
Occasion:
Year:
- -
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
National Workshop attended
Subject:
Year:
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1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Conferences attended :
(Please indicate only the years, e.g 1971, 1979)
Membership Log-In Info.
Membership Category :
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Student Member
Associate Member
Full Member (MSTAN)
Fellow Member (FSTAN)
Honorary Member
Life Member
Institutional Member
Year :
- -
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Level of Institution:
- -
Primary School
Secondary School
Tertiary Institution
(For Institutions Only)
Password :
Confirm Password :
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Subscriber Within Nigeria
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Date of Payment:
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