CSCS Form.

Step 1 of 3: Account & Client Details

1

Account & Client Details

2

Bank Details

3

Stockbroking Firm

PERSONAL CORPORATE

(Please tick appropriately)

Name of Client (Surname first) or Company's Name *

Passport Photograph *

Date of Birth / CAC No. *

Mother's Maiden Name (where applicable)

Address *

CSCS Account Number

Clearing House Number

Telephone Number (1)

Telephone Number (2)

Email Address (1)

Email Address (2)

Direct Settlement Preference

Do you opt for direct settlement into your bank account? *

YES NO

Signatures

Signature (1) *

Signature (2) *

For Corporate accounts, two authorized signatories must sign with their passport photographs affixed and company's Seal appended on this form.

For data privacy concerns,
please email: [email protected]

Cordros Securities Limited is registered and regulated by the Securities and Exchange Commission, Nigeria. RC 1258709