Group / Association Information:

Group/Association Name:

Group Address:

Registration Number (if registered):

Primary Contact Person:

Phone Number:

Email Address:

Investment Details:

Target Amount (₦):

Contribution Frequency:
WeeklyMonthlyQuarterly

Contribution Amount (₦):

Planned Investment Duration:

Authorized Signatories (Minimum 2 Required):

Signatory 1:

Full Name:

Position in Group:

Phone Number:

Email Address:

BVN:

Grants MFB Account Number:

Signatory 2:

Full Name:

Position in Group:

Phone Number:

Email Address:

BVN:

Grants MFB Account Number:

Optional Signatory 3:

Full Name:

Position in Group:

Phone Number:

Email Address:

BVN:

Grants MFB Account Number:

Upload Passport Photographs:

Signatory 1:

Signatory 2:

Signatory 3 (Optional):

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

Document Checklist:

Valid Means of ID (all signatories)Utility Bill (Group Address)Group Registration CertificatePassport Photos

NDPR Data Privacy Consent:

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). The information provided shall be used solely for the management of our Cooperative Investment Account and regulatory compliance.

Declaration:

We confirm that the information provided above is true and accurate. We agree to comply with the terms and conditions governing the operation of the Cooperative Investment Account at Grants MFB.

Authorized Signatures:

Signatory 1 Signature (type name):

Signatory 2 Signature (type name):

Signatory 3 Signature (Optional):

Date: