INDIVIDUAL ACCOUNT OPENING FORM Note: For individual facilities above 30 days there’s no end of contract option. Either its daily, weekly, or monthly Upload Passport photograph Surname First Name Other Names Date of Birth Gender Male Female Phone Number Means of Identification National ID Voters card Passport Drivers license Upload scanned copy of means of ID Marital Status Single Married Nationality State of Origin LGA Personal Email Address Residential Address BVN Company / Business name Nature or type of business Length of existence 1-3months 3-6months 6-9months 9-12months Over a year Company/business address Official email address Tenor 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months 12 Months Purpose of Loan Repayment plan Daily Weekly Monthly End of contract Collateral details Requested Amount Declaration I declare that the information above is true. The lender-authorized personnel can visit my business/residence for the purpose of business assessment, and the lender reserves the right to make third-party enquires for the purpose of the loan assessment Send Your Passport Photograph Surname First Name Other Name Date of Birth Gender Male Female Phone Number Home Address Mobile Telephone Number Means of Identification National ID Voters card Passport Drivers license Marital Status Nationality State of Origin Local Govt. Area Personal Email Address BVN Business Name TIN No: Nature of Business Lenght of Existence/Duration of Stay: Business Address LandMark Type of Business Unregistered Sole Propietorship Partnership Limited Official Email Address Business Worth Weekly Turnover Loan Amount Tenor Loan Cycle Purpose of Loan Repayment Plan Weekly Monthly Quarterly End of Contract Collateral Details Name of Bank/Institution Principal Amount Outstanding Balance Monthly Payment Declaration I declare that the information above is true. That the Lender authorized personnel can visit my business/residence for the purpose of business assessment. That the Lender reserves the right to make third-party enquiries for the purpose of the loan assessment. Signature Send