Applicant Information:

Full Name:

Date of Birth:

Nationality:

Residential Address:

Phone Number:

Email Address:

BVN:

Upload Passport Photograph:

Allowed types: JPG, JPEG, PNG. Max size: 2 MB.

Mandate Instruction:

Employment Details:

Employer Name:

Employer Address:

Job Title:

Department:

Salary Details:

Monthly Salary (₦):

Current Bank for Salary Payment:

Would you like to transfer your salary to Grants MFB?:

YesNo

Next of Kin Information:

Full Name:

Relationship:

Phone Number:

Address:

Identification Details:

National IDDriver’s LicenseInternational PassportVoter’s Card

ID Number:

Issuing Authority:

ID Expiry Date:

Account Services (Please Tick):

Debit Card Request (Afrigo Card)Mobile Banking AccessUSSD Banking Access (*5595#)

Source of Funds:

Salary (Primary Source)

Other (specify):

NDPR Data Privacy Consent:

I hereby consent to the collection, processing, and storage of my personal data by Grants Microfinance Bank Ltd., in compliance with the Nigeria Data Protection Regulation (NDPR).

Declaration:

I confirm that the information provided above is true and accurate. I agree to be bound by the bank's terms and conditions governing the operation of this account.

Signature:

Applicant’s Name:

Applicant’s Signature:

Date:

Applicant Information:

Full Name:

Date of Birth:

Nationality:

Residential Address:

Phone Number:

Email Address:

BVN:

Upload Passport Photograph:

Allowed types: JPG, JPEG, PNG. Max size: 2 MB.

Mandate Instruction:

Employment/Business Information:

Occupation:

Employer/Business Name:

Work Address:

Next of Kin Details:

Full Name:

Relationship:

Phone Number:

Address:

Identification Details:

Means of Identification:

National IDDriver’s LicenseInternational PassportVoter’s Card

ID Number:

Issuing Authority:

ID Expiry Date:

Account Service Request (Please Tick):

Chequebook RequestDebit Card Request (Afrigo Card)Mobile Banking AccessUSSD Banking Access (*5595#)

Source of Funds:

SalaryBusiness IncomeInvestment IncomeGift/Support

Others:

NDPR Data Privacy Consent:

I hereby consent to the collection, processing, and storage of my personal data by Grants Microfinance Bank Ltd., in compliance with the Nigeria Data Protection Regulation (NDPR).

Declaration:

I confirm that the information provided above is true and accurate. I agree to the bank's terms and conditions governing the operation of this account.

Signature:

Applicant’s Name:

Applicant’s Signature:

Date:

Business Information:

Business Name:

Type of Business: Sole ProprietorshipPartnershipLimited LiabilityCooperative/Association

Business Registration Number (RC/BN):

Tax Identification Number (TIN):

Nature of Business:

Business Address:

Phone Number:

Email Address:

Authorized Signatory(ies) Information:

Signatory 1 Name:

Signatory 1 BVN:

Signatory 1 Phone:

Signatory 1 Email:

Signatory 2 Name:

Signatory 2 BVN:

Signatory 2 Phone:

Signatory 2 Email:

Signatory 3 Name:

Signatory 3 BVN:

Signatory 3 Phone:

Signatory 3 Email:

Upload Passport Photographs:

Allowed types: JPG, JPEG, PNG. Max size: 2 MB.

Mandate Instruction:

Identification Details of Signatories:

National IDDriver’s LicenseInternational PassportVoter’s Card

ID Number:

Issuing Authority:

ID Expiry Date:

Account Service Requests (Please Tick):

Chequebook RequestDebit Card Request (Afrigo Card)Mobile Banking AccessUSSD Banking Access (*5595#)

Source of Funds:

Business RevenueInvestment Income

Other:

Document Checklist:

Certificate of Incorporation / Business RegistrationCAC Form CO2/CO7 or updated documentsValid Means of Identification for each SignatoryProof of Business Address (Utility Bill, Tenancy Agreement)Board Resolution (for Limited Companies)

NDPR Data Privacy Consent:

I/We hereby consent to the collection, processing, and storage of our personal and business data by Grants Microfinance Bank Ltd., in compliance with the Nigeria Data Protection Regulation (NDPR). The information shall be used solely for account management, customer service, and regulatory compliance.

Declaration:

I/We confirm that the information provided above is true and accurate. I/We agree to comply with the bank's terms and conditions governing the operation of this account.

Signatories:

Signatory 1 Name:

Signatory 1 Signature:

Date:

Signatory 2 Name:

Signatory 2 Signature:

Date:

Signatory 3 Name:

Signatory 3 Signature:

Date:

Organization Information:

Association/NGO Name:

Registration Number (if applicable):

Nature of Activities:

Organization Address:

Phone Number:

Email Address:

Authorized Signatory(ies) Information:

Signatory 1 Name:

Signatory 1 BVN:

Signatory 1 Phone:

Signatory 1 Email:

Signatory 2 Name:

Signatory 2 BVN:

Signatory 2 Phone:

Signatory 2 Email:

Signatory 3 Name:

Signatory 3 BVN:

Signatory 3 Phone:

Signatory 3 Email:

Upload Passport Photographs:

Allowed types: JPG, JPEG, PNG. Max size: 2 MB.

Mandate Instruction:

Account Service Requests:

Chequebook RequestDebit Card Request (Afrigo Card)Mobile Banking AccessUSSD Banking Access (*5595#)

Source of Funds:

DonationsMember ContributionsProject Grants

Other:

Document Checklist:

Certificate of Incorporation or RegistrationConstitution/Rules and Regulations of the OrganizationBoard/Resolution Mandating the Opening of AccountValid Means of Identification for SignatoriesProof of Address (Utility Bill, Tenancy Agreement)

NDPR Data Privacy Consent:

I/We hereby consent to the collection, processing, and storage of our personal and organizational data by Grants Microfinance Bank Ltd., in compliance with the Nigeria Data Protection Regulation (NDPR). This data shall be used solely for account management, customer service, and regulatory compliance.

Declaration:

I/We confirm that the information provided above is true and accurate. I/We agree to comply with the bank's terms and conditions governing the operation of this account.

Signatories:

Signatory 1 Name:

Signatory 1 Signature:

Date:

Signatory 2 Name:

Signatory 2 Signature:

Date:

Signatory 3 Name:

Signatory 3 Signature:

Date: