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A 5 STEP Bank Account Opening Form
Step 1: Personal Information
Full Name (Surname , First name, Middle Name):
Date of Birth:
Email Address:
Phone Number:
NIN Number:
For NORA SAVERS, Specify Monthly Savings Amount:
Gender:
-- Select Gender --
Male
Female
Other
Prefer not to say
Residential House Address:
Nationality:
State of Origin:
Upload /Scan Passport Photo:
Or Upload Utility Bill:
Next of Kin Details
Full Name:
Date of Birth:
Relationship to Applicant:
-- Select Relationship --
Parent
Sibling
Spouse
Child
Uncle/Aunt
Cousin
Friend
Other
Nationality:
State of Origin:
Residential Address:
Phone Number:
Email Address:
Gender:
-- Select Gender --
Male
Female
Other
Prefer not to say
Choose Account Services (Select multiple):
SMS Alerts
Internet Banking
Mobile Banking
Cheque Book
ATM Withdrawals
Funds Transfer
Select Your Preferred Card Type (Select multiple):
Debit Card
Credit Card
Prepaid Card
Virtual Card
Platinum Card
Gold Card
Bank Verification Number (BVN):
Select Account Type:
-- Select Account Type --
Savings Account
Current Account
RETRUST NORA SAVINGS
Fixed Deposit Account
Domiciliary Account
Student Account
Corporate Account
Annual Salary/Income Range:
-- Select Income Range --
less than #50,000
#50,000 - #500,000
#500,000 - #10 Million
#10 Million - #50 Million
#50 Million - #100 Million
Above #100 Million
Employer's Name:
Employer's Office Phone Number:
Employer's Office Address:
City:
Employment Status:
-- Select Employment Status --
Employed
Self-Employed
Unemployed
Retired
Student
Occupation:
Referral Code:
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