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

Individual Account Opening Form

Attention: This Account Opening is for residents in Lagos State alone at the time. If you reside outside Lagos, we cannot serve you at this time.

BVN

NIN

PERSONAL DETAILS

Full Name

First

Middle

Last

Date Of Birth

Nationality

State Of Residence

Which state are you currently reside in?

Of (IF Upload

Current Home Address

Utility Bill (With current home Address)

Drag & Drop Files, Choose Files to Upload

SEX

Female
Male

Email Address

Confirm Email

Phone Number

Active phone number

IDENTIFICATION TYPE

ID Document Upload

Drag & Drop Files, Choose Files to 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

Relationship to Next of Kin

Phone (Next Of Kin)

Address (Next Of Kin)

Address Line 1

City

State / Province / Region

Country

Upload Documents

Passport Photograph

Drag & Drop Files, Choose Files to Upload

Signature

Drag & Drop Files, Choose Files 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.
Click here to accept our terms and conditions

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