SMART Account Opening Page(Group) – Bank of Industry Micro Finance Bank

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1Group Details

2SIGNATORIES

3Group Member 1

4Group Member 2

5Group Member 3

6SUBMIT

GROUP DETAILS

Name of Group *

Registered Address *

Address Line 1

City

State / Province / Region

Date of Registration *

Registration Number *

CAC No.

Number of Group Members *

Email Address *

Confirm Email

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Details of Leadership

Chairman *

First

Middle

Last

Identification Type (Chairman) *

Chairman ID No. *

Address (Chairman) *

Address Line 1

City

State / Province / Region

Telephone (Chairman) *

(Next of Passport

Secretary *

First

Middle

Last

Secretary Identification Type *

Secretary ID No. *

Address (Secretary) *

Address Line 1

City

State / Province / Region

Telephone *

Treasurer *

First

Middle

Last

Identification Type (Treasure) *

Treasurer ID No. *

Address (Treasurer) *

Address Line 1

City

State / Province / Region

Telephone (Treasurer) *

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SIGNATORIES

SIGNATORY A - CHAIRMAN

Name *

First

Middle

Last

Address *

Address Line 1

City

State / Province / Region

Telephone *

NIN *

BVN *

Date of Birth *

Sex *

Nationality *

Nigerian
Other

Hometown *

State Of Residence *

LGA of Residence

Current Home Address *

Office Address

Leave blank if same as above.

Email Address *

Confirm Email

Identification Type *

ID No. *

Marital Status *

Details of Spouse

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Telephone *

Next Of Kin

Name (Next of Kin) *

First

Last

Phone (Next of Kin) *

Address (Next of Kin) *

Address Line 1

City

State / Province / Region

Passport *

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Signature *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

Signed on a plain white sheet of paper

Utility Bill *

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NIN *

Drag & Drop Files, Choose Files to Upload

Save and Resume Later

SIGNATORY B - SECRETARY

Name *

First

Middle

Last

Address *

Address Line 1

City

State / Province / Region

Telephone *

NIN *

BVN *

Date of Birth *

Sex *

Nationality *

Nigerian
Other

Hometown *

State Of Residence *

LGA of Residence

Current Home Address *

Office Address *

Email Address *

Confirm Email

Identification Type *

ID No. *

Marital Status *

Details of Spouse

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Telephone *

Next Of Kin

Name (Next of Kin) *

First

Last

Phone (Next of Kin) *

Address (Next of Kin) *

Address Line 1

City

State / Province / Region

Passport *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

Signature *

Drag & Drop Files, Choose Files to Upload

Signed on a plain white sheet of paper

Utility Bill *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

NIN *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

Save and Resume Later

SIGNATORY C - TREASURER

Name *

First

Middle

Last

Address *

Address Line 1

City

State / Province / Region

Telephone *

NIN *

BVN *

Date of Birth *

Sex *

Nationality *

Nigerian
Other

Hometown *

State Of Residence *

LGA of Residence

Current Home Address *

Office Address

Email Address *

Confirm Email

Identification Type (copy) *

ID No. *

Marital Status *

Details of Spouse

Name *

First

Last

Phone *

Address *

Address Line 1

City

State / Province / Region

Next of Kin

Name (Next of Kin) *

First

Last

Phone (Next of Kin) *

Address (Next of Kin) *

Address Line 1

City

State / Province / Region

Passport

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Camera Preview

Signature

Drag & Drop Files, Choose Files to Upload

Signed on a plain white sheet of paper

Utility Bill

Drag & Drop Files, Choose Files to Upload

NIN

Drag & Drop Files, Choose Files to Upload

Save and Resume Later

Consent *

We hereby apply to open a savings account and confirm that the above stated information is true.

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.

Group Account Opening Form

GROUP DETAILS

Details of Leadership

SIGNATORIES

SIGNATORY A - CHAIRMAN

Details of Spouse

Next Of Kin

SIGNATORY B - SECRETARY

Details of Spouse

Next Of Kin

SIGNATORY C - TREASURER

Details of Spouse

Next of Kin