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KYC COMPLIANCE FORM
KYC COMPLIANCE FORM
Client Information
First Name
Valid name is required.
Last Name
Valid name is required.
Contact Email Address
Contact NIN Registered Phone Number
Valid Phone Number is required.
Business Name
Valid name is required.
Nature of Business
Valid name is required.
TIN (Tax Identification Number)
Valid name is required.
GOVERNMENT ISSUED ID:
Valid name is required.
CERTIFICATION OF INCORPORATION/CERTIFICATION OF BUSINESS NAME:
Valid name is required.
Buisness Location
-- Select location --
Abuja State
Lagos State
Kwara State
Valid email is required.
Address where service is registered to be used:
Valid email is required.
Website
Valid name is required.
NOTE: If the person representing your company by providing his/her ID and details is not a registered Director of the company with the Coporate affairs comission (CAC), please attach a letter with the company's letter head authorizing the person whoise details are submitted aceepting full responsibility. This letter must be signed by at least one registered Director.
Valid name is required.
I accept the
terms
and
conditions
.
Submit
