Pecantrust

Open An Account

Personal / Company Details

Fill as appropriate

Company name:

First name:

Last name:

Date of birth:

State of origin:

Religion:

Title:

Company registration details:

Middle name:

Mother’s maiden name:

Nationality:

Local government area

Highest level of education

Marital status:

Gender:

Other Bank Details

Bank name:

Account number:

Branch:

BVN:

Contact Details

Home address:

Nearest landmark:

Loacal government area

State

How long have you lived at this address:

Means of identification:

ID number

Phone number:

Intagram / twitter@:

Email address:

Employment Details

Employment status:

Proffeession:

Current employer / company address:

Current employer / company:

Net monthly income:

Nearest landmark / bus stop:

Details of Next of Kin

Name:

Residential adddress:

Phone number:

Relationship:

Email address:

Acknowledgement / photograph

Passport photograph:

I/we confirm that all information provided above are complete and correct. I authorize you to make any enquiry you consider necessary and appropriate for the purpose of evaluating the information.