The following personal information is to enable us to build a strong relationship with our individual and corporate clients. The data will also enable a robust database for future account relationship.
Title Mr.Mrs.MissDr.Prof.
Surname*
First Name*
Other Name
Marital Status* SingleMarriedOthers
Gender* MaleFemale
Nationality*
Place of Birth
Date of Birth*
Residence Address*
Nearest Bus Stop
City/Town
Office Address
Nearest Bus Stop (Office)
Phone Number 1*
Phone Number 2
Email Address*
ID Type*
ID Number
Date Issued*
ID Expiry Date*
LinkedIn
Facebook
Instagram
Twitter
Occupation
Employer
Preferred Communication Method EmailPhone
Next of Kin Name
Next of Kin Address
Next of Kin Phone Number
Bank*
Account Number
BVN
Interest Payment* MonthlyQuarterlyBi-annuallyTenor End
Upload Passport Photo*
