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Loan Calculator

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Account Opening Form


 
 
INDIVIDUAL ACCOUNT OPENING FORM
 
 
PLEASE SELECT THE DESIRED TYPE OF ACCOUNT:
 
 
Current Account:
 
Savings Account:
 
Deposit Account:
 
 
 
Joint Account:
 
Others:
 
 
ACCOUNT OPENING REQUIREMENT
 
 
1. Duly signed Signature Cards
2. Two Passport Photographs of each signatory
3. Identification Document for each signatory.
4. Duly completed Reference Forms (excluding Saving Account)
5. Utility Bill e.g. Electricity, Water, Telephone, or Rental Receipt.
6. Resident Permit (Foreigners Only)
 
 
 
CUSTOMER INFORMATION
 
 
Account Name:
Applicable only to Joint Accounts
 
Title:
 
Others:
(Please Specify)
 
 
Surname:
 
Middle Name:
 
 
 
First Name:
 
 
 
Residential Address:
 
 
 
 
 
Mailing Address:
 
 
   
 
State of Origin:
LGA:
 
 
 
Date of Birth:
(dd/mm/yyyy)
 
 
Nationality:
 
 
Business:
 
 
Mother's Maiden Name:
 
 
Name of Employer:
 
 
Date of Empolyment:
 
 
 
Address of Employer:
 
 
 
 
 
Phone No:
 
 
Home:
 
Mobile:
 
Email Address:
 
 
 
Gender:
Male:   Female:
 
 
Marital Status:
Single:   Married:
If 'Married', Name of Spouse:
 
 
Identification:
Int'l Passport:   National ID:   Driver's License:   Others:
 
Religion:
 
   
 
Wedding Anniversary Date:
 
 
ELECTRONIC BANKING SERVICES (Tick as Required)
 
 
Internet Banking:
 
SMS Alert:
 
Email Statement:
 
Naira Debit Card:
 
 
 
DETAILS OF NEXT OF KIN
 
 
Surname:
 
Middle Name:
 
 
 
First Name:
 
 
 
Home Address:
 
 
   
 
Mobile Number:
 
 
 
 
I Hereby affirm that the information provided above is partial fulfillment of the terms of opening an account with CEMCS Bank. I accept that any inaccurate or false information declared above would result in immediate disqualification of this application.
 
 
Note: All Fields are Mandatory.