Sembic Direct Sales Agent (DSA) Registration Form

Surname (required)

First Name(required)

Other Names (required)

Gender (required)
MaleFemale

Phone (required)

Your Email Address (required)

Residence Address

Local Government of Residence(required)

State of Residence (required)

Local Government of Origin (required)

State of Origin (required)

Qualification (B.sc/ HND) (required)

Upload your CV (required). File limit 300kb and file types allowed pdf or doc file.

Upload Credentials (WASC, NYSC, Degree Cert/ Statement of Result). File limit 500kb and file types allowed jpg,jpeg,png,gif,pdf or doc file.