Benue State Integrated Citizenship and Resident Identity Registration Management System

First Name

Last Name

Middle Name

Gender

Marital Status

Date of Birth

State of Origin

Local Government of Origin

Nationality

Community

Religion (Optional)

Recent Passport Photograph *

Or instead.

House Number

Street Name

Nearest Bus-Stop/Landmark

State of Residence

Local Government of Residence

Country of Residence

Identification Type

ID Number

Issue Date

Expiry Date

Surname

First Name

Middle Name

Relationship

Country of Residence

State of Residence

LGA of Residence

City/Town of Residence

Address

Neighbors' Contact Details

Neighbor 1

Family Contact Details

Family Member 1

Business Name

Business Type

Business Registration Number (if applicable)

Business Address

Nature of Business

Years in Operation

Number of Employees (if applicable)

Annual Revenue (Optional)

Tax Identification Number (TIN) (if applicable)

Mobile Number

Email

Employment History Details

Employment 1

Company Name

Address

Designation

Start Year

End Year

Leave blank if this is your current employment.

This is my current employment

Description of Company

Primary School

Name of Primary School

Address of Primary School

Year of Attendance

Secondary School

Name of Secondary School

Address of Secondary School

Year of Attendance

Tertiary Institution(s)

Tertiary Institution 1

Blood Group

Genotype

Disability Status

Review Your Information

Reference Verification Status

Neighbors

Family Members

Add at least one reference with name and phone to enable verification.

BICRIRMS

User

Account

Profile

Dashboard

Profile Details