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Upload KYC Documents
Bio-data
Surname
(Value Required)
First Name
(Value Required)
Other Name
Gender
(Value Required)
-- select gender --
Male
Female
Date of Birth
(Value Required)
Expected format: DD-MON-YYYY
Marital Status
(Value Required)
-- select status --
Single
Married
Phone Number
(Value Required)
E-mail Address
(Value Required)
Country of Residence
(Value Required)
-- select country --
NIGERIA
BENIN
CAMEROON
CANADA
COTE D'IVOIRE
FRANCE
GERMANY
GHANA
ITALY
KENYA
SENEGAL
SIERRA LEONE
SOUTH AFRICA
SPAIN
TOGO
UNITED KINGDOM
UNITED STATES
State of Residence
(Value Required)
-- select state --
Abia State
Adamawa State
Akwa Ibom State
Anambra State
Bauchi State
Bayelsa State
Benue State
Borno State
Cross River State
Delta State
Ebonyi State
Edo State
Ekiti State
Enugu State
FCT
Gombe State
Imo State
Jigawa State
Kaduna State
Kano State
Katsina State
Kebbi State
Kogi State
Kwara State
Lagos State
Nasarawa State
Niger State
Ogun State
Ondo State
Osun State
Oyo State
Plateau State
Rivers State
Sokoto State
Taraba State
Yobe State
Zamfara State
State of Residence
(Value Required)
City
Address of Residence
(Value Required)
Next of Kin
Last Name
(Value Required)
First Name
(Value Required)
Other Name
Gender
(Value Required)
-- select gender --
Male
Female
Relationship
(Value Required)
-- select relationship --
Brother
Child
Children
Daughter
Father
Husband
Husdand
Mother
Mother/Sister
Partner
Sibbling
Siblings
Sister
Sisters
Son
Sons
Spouse
Wife
Country
(Value Required)
-- select country --
NIGERIA
BENIN
CAMEROON
CANADA
COTE D'IVOIRE
FRANCE
GERMANY
GHANA
ITALY
KENYA
SENEGAL
SIERRA LEONE
SOUTH AFRICA
SPAIN
TOGO
UNITED KINGDOM
UNITED STATES
City
(Value Required)
Phone No.
(Value Required)
Email Address
(Value Required)
Address
(Value Required)
Bank Details
Bank Name
(Value Required)
-- select bank name --
Access Bank
Citibank Nigeria
Diamond Bank
Ecobank Nigeria
Enterprise Bank
Fidelity Bank
First Bank Nigeria
First Bank Nigeria
First City Monument Bank
Guaranty Trust Bank
Heritage Bank
Key Stone Bank
Mainstreet Bank
Polaris Bank
Providus Bank
Skye Bank
Stanbic IBTC Bank
Standard Chartered Bank Nigeria
Standard Chartered Bank Nigeria
Sterling Bank
Suntrust Bank Nigeria
TAJ BANK
Union Bank Of Nigeria
United Bank For Africa
Unity Bank
Unity Bank
Wema Bank
Zenith Bank
Bank Account Name
(Value Required)
Account Number
(Value Required)
BVN (Optional)
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