Account Opening Form

IDENTIFICATION DETAILS

BVN

NIN

ACCOUNT CATEGORY AND ACCOUNT TYPE

Account Category

Account Type

PERSONAL DETAILS

Title

Surname

First Name

Other Name(s)

Mother's Maiden Name

Marital Status

Gender

Date of Birth

Place of Birth

Nationality

Dual Citizenship

State of Origin

LGA

Tax Identification Number (TIN)

Resident Permit No. (If available)

Resident Permit Issue Date

Purpose of Account

CONTACT DETAILS

House Number

Street Name

Nearest Bus Stop/Landmark

City/Town

Local Govt. Area

State

Phone Number 1

Phone Number 2

Email Address

ACCOUNT SERVICES REQUIRED

Card

Mobile Banking

Internet Banking

Cheque Book

Alert

Statement Frequency (Email Only)

VALID MEANS OF IDENTIFICATION

Type of ID

ID No.

ID Issue Date

ID Expiry Date

EMPLOYMENT DETAILS

Status

Date of Employment (if employed)

Annual Salary/Expected Annual Income

Employer's Name

Employer's/Employment Address

Nature of Business/Occupation

Office Phone Number

Fax Number

REQUIRED DOCUMENTS

If you are returning to this page to make an edit, you will need to re-select your file uploads.

Passport Photograph

Recent Utility Bill

Valid Means of Identification

DETAILS OF NEXT OF KIN

House Number

Street Name

Nearest Bus Stop/Landmark

City/Town

Local Govt. Area

State

Phone Number 1

Phone Number 2

Email Address

CONSENT

I agree to the terms and conditions.

Customer Name

Date