FCP Form – Quebec AgriFoodPro CO-OP Group

Food Production Contribution Program

To get started with the Food Production Contribution Program Enrolment:

Pay a non-refundable fee of N1,000 for the Application Form to the Cooperative Account with 9Payment Service Bank (9PSB) – Account Name: Quebec AgrifoodPro Coop Account No: 5050032555.
Fill the online Form with relevant KYC Documents such as Passport Photography, National Identity Card Slip, and Attach evidence of your contribution payments to the cooperative Account with Nirsal Microfinance Bank Ltd with account details as provided in the online form for processing.
For subsequent monthly contribution payments, send evidence of payment to the cooperative-approved WhatsApp number: 09095448350, and email: quebecagrfoodprocoopng@gmail.com.
Food items will be available at approved collection and pick-up centers, and no delivery will be made to individual households.
For more information and clarity, reach out to these numbers: 09095448350, 09095448351

Note: Management reserves the right to change terms and conditions from time to time, subject to open market and economy reality.

Upload Passport

Name

First

Last

Nationality*

State of Origin*

LGA*

Hometown*

Date of Birth*

Gender*

Marital Status*

Religion*

Profession*

NIN Number*

MDA Address

Business Address*

Phone Number*

Whatsapp Number*

Home Address*

State of Residence*

Email *

Next of Kin Name*

Next of Kin Relationship*

Next of Kin Address*

Email Address*

Phone Number*

Contribution Details

Amount Per Slot Per Year (NGN)*

Number of Slots*

Monthly Contribution Per Slot (NGN)

Plan*

Contribution Details

Payment Channel

Bank Name: Nirsal Microfinance Bank Ltd(NMFB)
Account Name: Quebec Agricultural & Food Processing Cooperative Society Ltd
Account No: 0251625871

Yes I have transferred to the above account details

Upload transaction proof *

Agreement to Anti-Money Laundering Laws and Regulations 2021 I consent to KYC compliance with the terms and Proceeds of the Special Control Unit against Money Laundering (SCUML).

This field should be left blank

Food Production Contribution Program

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