Account Reactivation/Update Form
Select Account Type
Please select
Individual
Corporate
Title
Surname
Other Names
Customer Residential Address
Account Number
Email for Alert
Preferred Phone Number for SMS Alert
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Type of Update:
Account Reactivation
Customer Information
Signature
Passport Photo
Mandate
*For customer information, signature, passport photograph and mandate update, please attach appropriate documents.
ID Type:
Int. Passport
Driver's License
National ID
Others
Please Specify
ID No.:
Date Issued:
BVN:
Residence/Work Permit No (for foreigners’):
Date of Birth:
Nationality:
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Country of Residence:
State of Origin:
Local Government:
Business Line:
Job Title:
Employer's Name:
Employer's Address:
Date of Employment:
Economic Sector:
Mother's Maiden Name:
Tax Identification Number:
Tel. No.:
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Next of Kin Name:
Relationship:
Mobile:
Address:
Email Address:
Name of Child:
Child's Birthday:
Name of Child:
Child's Birthday:
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Signature and Passport Update:
Old Signature
New Signature
Passport
Additional Documents
Utility Bill
ID Card
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Submit
Account Name
Account Number
Type of Update:
Account Reactivation
Customer Information
Signature
Passport Photo
Mandate
*For customer information, signature, passport photograph and mandate update, please attach appropriate documents.
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Company Registration No
Incorporation/Registration Date
Registered Address
Email Address for Alert
Tax Identification No
Telephone No
Fax
Mobile No
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Name of Director 1
Mobile Number
Address
Name of Director 2
Mobile Number
Address
Name of Director 3
Mobile Number
Address
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Signatories Information
Name
Mobile Number
Email Address
Position
Signature & Date
Name
Mobile Number
Email Address
Position
Signature & Date
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Board Resolution
Utility Bill
Registration Document
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Submit
