Account Opening Form Individual Account Opening Form - Individual Account Opening Form - Individual a. Category of Account (Tick as appropriate) IndividualJoint b. Type of Account (Tick as appropriate) SG RegularSG PriorityInvestmentOthers (Please specify) c. Bank Verification (BVN) 1. Personal Information Title Surname First Name Middle Name Marital Status SingleMarriedOthers Sex MaleFemale Date of Birth Social Media Mother’s Maiden Name State of Origin Select a stateAbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfaraFederal Capital Territory (FCT) L.G.A Nationality (For non-Nigerian) Resident Permit No. ID Issue Date ID Expiry Date Do you have dual citizenship? YesNo If yes, please specify If US citizen/resident, please provide Social Security No. Purpose of Account Upload your picture (Max size: 2MB, Formats: jpeg, png, jpg, gif): 2. Contact Details House Number Street Name Landmark/Nearest Bus-stop City/Town L.G.A State Select a stateAbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfaraFederal Capital Territory (FCT) E-mail Address Mobile No. (1) Mobile No. (2) 3. Valid Means of Identification Driver’s LicenseVoter’s CardInternational PassportNational IDOthers ID Issue Date ID Number ID Expiry Date 4. ACCOUNT SERVICE(S)REQUIRED(please tick option below) Electronic Banking Preference Internet BankingMobile Banking Username (specify) 4. EMPLOYMENT DETAILS Employment Status EmployedSelf EmployedUnemployedStudentRetiredOthers Others (please specify) Annual Salary/Expected Annual Income ₦ 0 - ₦ 50,000₦ 51,000 - ₦ 250,000₦ 251,000 - ₦ 500,000₦ 501,000-Less than ₦ 1,000,000₦ 1million-Less than ₦ 5million₦ 5million- Less-than ₦ 10million₦ 10million-Less than ₦ 20millionAbove ₦ 20million Employer's Name Date of Employment (if employed) Name of Business/Occupation Employer's Address: Number Street Name City/Town Nearest Bus-stop State Select a stateAbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfaraFederal Capital Territory (FCT) L.G.A Official Number Mobile Number 6. DETAILS OF NEXT OF KIN Title Surname First Name Middle Name Relationship Gender MaleFemale Date of Birth Mobile Number E-mail Address Contact Details House Number Street Name Landmark City/Town State Select a stateAbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfaraFederal Capital Territory (FCT) L.G.A
