Individual Account Opening Form (Minor).

PERSONAL INFORMATION AND BANK DETAIL

Surname *

Other Names *

Date of Birth *

Gender *

Marital Status *

Nationality *

State of Origin *

LGA *

Mother’s Maiden Name *

Residential Address *

Postal Address

Email Address *

Phone Number *

Example: +234 801 000 0000

BVN *

Bank Name *

Account Number *

Account Name *

INVESTMENT DETAILS

Investment Amount (₦) *

Investment Type *

Purpose of Investment *

EMPLOYMENT STATUS

Employment Status *

Employer Name

Occupation

Employer Address

PEP DECLARATION

Are you a Politically Exposed Person (PEP)? *

YesNo

If yes, state relationship

PASSPORT PHOTO

Passport Photo *

SPECIMEN SIGNATURE

SPECIMEN SIGNATURE *

DECLARATION

I hereby declare that the information provided above is true and correct to the best of my knowledge. I agree to abide by the terms and conditions governing the operation of the account.

Signature *

Signed this (Date) *