This is a form to enable you apply for the innovative solution of protecting your Food Product’s NAFDAC Number (You can visit HERE to know more about it).

INSTRUCTIONS

1st: If using an android device, get the Vicilook App  HERE , but if not, go HERE  and create your account, remember to upload a profile pix for account verification.

2nd: Use the details you used during registration to properly fill the form below.

For any assistance, please call 08078815633 or correctly fill the form below to mail us.

Full Name *

The one you used in creating your account on Vicilook App or website

Email *

The one you used in creating an account on Vicilook App or Website

Whatsapp Phone Number *

Company or Office Address *

Address Line 1

City

State / Province / Region

Product's Name / Size or Weight *

Example: Chrizza Peanut Burger 150g

Ingredients *

as seen on your product's label.

Nutritional Facts *

As seen on your product's label

NAFDAC Number of your product *

Upload Image Of The Product's Pack or Container *

Click here to Upload it. You can upload up to 5 files.

Ensure the image is sharp and clear

Produced By *

Marketed By *

You Used In Making Payment *

This details will enable us process and launch your product's page immediately

Submit