Account Opening Page(Individual) – Bank of Industry Micro Finance Bank

Individual Account Opening Form

BVN

NIN

PERSONAL DETAILS

Full Name

First

Middle

Last

Date Of Birth

Nationality

Home Town

Number (copy) Utility

SEX

Female
Male

Current Home Address

Address Line 1

City

State / Province / Region

Country

Utility Bill (With current home Address)

Click or drag a file to this area to upload.

Email Address

Phone Number

Alternative Phone Number

IDENTIFICATION TYPE

ID Document Upload

I.D Number

Marital Status

Single
Married
Divorced
Widowed

DETAILS OF SPOUSE (IF MARRIED)

Spouse Address

Address Line 1

City

State / Province / Region

Country

Next Of Kin

First

Middle

Last

Phone (Next Of Kin)

Address (Next Of Kin)

Address Line 1

City

State / Province / Region

Country

Upload Documents

Passport Photograph

Click or drag a file to this area to upload.

Signature

Click or drag a file to this area to upload.

Sign your signature on a blank piece of paper, Snap and Upload here.

Authorisation

I hereby apply to open and confirm that the above stated information is true.
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