Fixed Investment KYC Form

Investment Type *

How did you find out about us? *

Website
Social Media
Other

Investor Information

Title *

Name *

First

Middle

Last

Other Names *

Mother's Maiden Name *

Date of Birth *//

Gender *

Nationality *

Local Government Area *

State of Origin *

Religion *

Contact Address *

City *

State *

Telephone Number *

Business Occupation Type/Business Sector

Occupation *

Email Address *

BVN *

Marital Status *

Fixed Investment Tenor *

30 Days
90 Days
180 Days
365 Days

Investment Target *

Investment Amount *

Investor Bank Name *

Investor Account Name *

Investor Account Number *

Next of Kin Name *

Next of Kin Relationship *

Next of Kin Contact Address *

Next of Kin Telephone Number *

Child Information

Name *

First

Middle

Last

Date of Birth//

Gender

Employment Details

Employment Status

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Fixed Investment KYC Form

Investor Information

Child Information

Employment Details

Resources

Company

Contact