Nigerian Bar Association Stamp Application Form
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1NIGERIAN BAR ASSOCIATION
Attach Your
Photograph
STAMP APPLICATION FORM
Surname
Other Names
Name as Verified
SAN Yes
No
Email:...........................................................................................................................
Year of Call to Bar:
Enrollment/Call No.
GSM No.
SS CC NN
PLEASE INDICATE TYPE OF PRACTICE BY TICKING THE BOX BELOW:
Private Legal Practice:
Others:
Public Legal Practice:
Government
Banks
University
Others
Name of Employer/ Place of work
Contact Address:
NBA Branch: .........................................................
COST
BANK DETAILS
Every Packet of 120 Stamps:
ACCOUNT NAME:
-
NIGERIAN BAR ASSOCIATION
N4, 000.00 (Four Thousand Naira Only)
BANK:
-
ACCESS BANK
ACCOUNT NUMBER: -
0694192920
INDICATE NUMBER OF PACKETS
COLLECTION POINT: INDICATE BY FILLING THE SPACE BELOW:
NBA Branch Name ………………………………………………………………………………………………………………………… ………
Access Bank Branch …………………………………………………………………………………………………………………………………
(Please specify Branch Address)
Note: - Please note that only lawyers whose data has been verified and stored in the NBA database will be
able to process application for stamp. Please forward your form to your Local Branch Chairman, with the
original copy of your payment teller/receipt.
Approval by either:
Branch Chairman
Bencher
SAN
National Officer
___________________________________
___________________________
Name:
Signature
National Secretariat, No. 24, Oro-Ago Crescent, Off Muhammadu Buhari way, Garki Area II, P.O.Box 5243, Abuja F.C.T., Nigeria
For further inquiries: Salamatu: 080356107864, Wole: 08035479443, Bar Service Hotline: 08175751180
Email:
.ng
Website:
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