1 Stock Account Form Please afford me / us your special financial and stockbroking facilities by opening a stock account in my / our name. Please upload Passport photographthis should not be more than 1mbcloud_uploadUpload Select account TypeSelect An OptionIndividual AccountJoint Account / Corporate Nameno-icon Contact Addressno-icon Office Addressno-icon Postal Addressno-icon Type of Businessno-icon Source of Incomeselect for individual accountSelect An OptionSavings PensionGratuityOthers Date of incorporation / Numberselect for corporate accountno-icon Mother's Madian nameno-icon Birthdayno-icon Telephone Nono-icon Email Addressa valid emailemail Initial Depositno-icon Cash / Cheque no:no-icon BankSelect An OptionAccess Bank CitibankDiamond BankDynamic Standard BankDevelopment Financial Pruben BankEcobank Nigeria – acquired Oceanic BankFidelity Bank NigeriaFirst Bank of NigeriaFirst City Monument BankGuaranty Trust BankHeritage Bank plc Keystone Bank LimitedProvidus Bank plc Skye Bank – acquired Mainstreet Bank LimitedStanbic IBTC Bank Nigeria LimitedStandard Chartered BankSterling Bank – acquired Equitorial Trust BankSuntrust Bank Nigeria LimitedUnion Bank of NigeriaUnited Bank for AfricaUnity Bank plcWema BankZenith Bank Payment datedate_range Monthly / Quarterly Investmentno-icon Tick the appropriate box(es) B. INVESTMENT OBJECTIVES Buying for Dividend IncomeBuying for Capital Gains / Growth Assemble a portfolio based on low Prices stocks for higher growth Social AffiliationsOthers C. CONDITION FOR PURCHASE I / We should be contacted on the availability of any stock before commitmentYou are required to buy to direct specification You are to use your discretion to assemble a good portfolio operate a Nominee Account on my / our behalf D. EQUITIES TO BE PURCHASED / SOLD INCLUDE THE FOLLOWING S/N1 Optionpick one!Select An OptionBuySell Securitiesno-icon Quantityno-icon Price Rangeno-icon Remarkmore details0 / S/N2 Optionpick one!Select An OptionBuySell Securitiesno-icon Quantityno-icon Price Rangeno-icon Remarkmore details0 / E. SIGNATURE OF CLIENT 1. Individual Nameyour full nameno-icon SignatureCheck 2. Joint / Corporate Namefull nameno-icon SignatureCheck Namefull nameno-icon SignatureCheck Namefull nameno-icon SignatureCheck Any special instruction0 / G. NEXT OF KIN (for individuals) Nameno-icon Relationshipno-icon Nameno-icon Relationshipno-icon H. INTRODUCED BYno-icon DECLARATION: I / We do undertake that I / We am / are committed financially to the company for any deal done on our behalf in line with the terms and conditions specified above and the mandate has freely given 1. INDIVIDUAL Nameno-icon SignatureCHECK 2. JOINT / CORPORATE Nameno-icon SignatureCHECK Nameno-icon SignatureCHECK Submit keyboard_arrow_leftPrevious Nextkeyboard_arrow_right Open Account
