Investment Registration Form

Kindly fill the form below

Full Name*

Phone Number*

Other Phone Number

Email*

Address*

Upload Passport*

Date of Birth*

Occupation*

Number of Units*

Tenure*

6 Months

12 Months

18 Months

24 Months

Currency*

Naira

USD

Euros

Pounds

Bank Name*

Account Name*

Account Number*

Next of Kin(Name)*

Next of Kin(Email)*

Next of Kin(Phone Number)*

Next of Kin(Address)*

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein immediately. In case any of the above information is found to be false or untrue or misleading or misinterpreting, I am aware that I may be held liable for it.

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