Individual Savings Account Opening form

SURNAME *

Please enter your Surname

FIRST NAME *

Please enter your First Name

OTHER NAME *

Please enter your other name

DATE OF BIRTH *

Please enter your date of birth

GENDER *

Please select your gender

MOTHER'S MAIDEN NAME *

Please enter your mother's maiden name

PLACE OF BIRTH *

Please enter your place of birth

HOME TOWN *

Please enter your home town

LOCAL GOVT. AREA *

Please enter your local government area

STATE *

Please enter your state

RELIGION *

Please select your religion

NATIONALITY (FOR NON-NIGERIAN)

Please enter your nationality

BVN *

Enter Your BVN

PHONE NUMBER REGISTERED WITH BVN *

Mobile No. Registered With BVN

MEANS OF IDENTIFICATION *

Enter your means of Identification e.g. driver's license

ID NUMBER *

Please enter your Identification number

ID ISSUE DATE *

Please enter your means of Identification Issue date (DD/MM/YYYY)

ID EXPIRING DATE *

Please enter your means of Identification expiry date (DD/MM/YYYY)

OCCUPATION *

Please enter your Occupation

BUSINESS ADDRESS *

Please enter your Business Address

RESIDENTIAL ADDRESS *

Please enter your Residential Address

LANDMARK/NEAREST BUS STOP *

Enter your landmark or nearest bus stop

PHONE NUMBER (1) *

Please enter your phone no.

PHONE NUMBER (2) *

Please enter your phone no.

E-MAIL ADDRESS *

Please enter your e-mail address

ACCOUNT TYPE *

Please select the account type

ALERT *

Please select one of the options

PRESENT BANKERS

(a) Name *

Address *

(b) Name *

Address *

REFEREES

(a) Name *

Address *

(b) Name *

Address *

SIGNATURE *

Click or drag a file to this area to upload.

Please Snap and Upload Signature

Al-Hayat Microfinance Bank Limited

PRESENT BANKERS

REFEREES

Personal Banking

Business Banking

Customer Services

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