Investment Trust (Individual) Account Opening Form.

PERSONAL INFORMATION AND BANK DETAIL

Surname *

Other Names *

Date of Birth *

Gender *

Marital Status *

Nationality *

State of Origin *

LGA *

Residential Address *

Email Address *

Phone Number *

Example: +234 801 000 0000

Bank Name *

Account Number *

BVN *

INVESTMENT DETAILS

Fund Type *

Investment Amount (₦) *

EMPLOYMENT STATUS

Employment Status *

Occupation *

Employer Name

Employer Address

PEP DECLARATION

Are you or any of your immediate family members or close associates a Politically Exposed Person (PEP)? *

Yes

If yes, please provide details

PASSPORT PHOTO

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 of the fund.

Signature

Signed this