Individual Account – Financial Trust Group

Individual Client Account Opening Form

First Name*
Middle Name
Last Name*
Email*
Phone*
Gender*
Date of Birth*
Date Format: MM slash DD slash YYYY
Citizenship*
State*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
LGA*
Address*
Bank Name*
Account Name*
Account Number*
BVN*
Mother's Maiden Name*
Next of Kin*
Phone Number (Next of Kin)*
Bank Account Open Date*
Date Format: MM slash DD slash YYYY
Career/Employment
Occupation*
Employer's Address*
Employment Status*
Source of Fund*
Expected Annual Income*
Account Type
Collective Investment Scheme
Separately Managed Accounts
Investment Plan
Upload ID Card*
Upload Signature*
Upload Utility Bill*
Upload Passport*
Questionnaire
Investment Objective
Investment Experience
Investment Experience
Investment Time Frame
Are You a Permanent Residence of any other Country? IF YES, Kindly Ensure to fill the FATCA form Attached
Have you occupied any political office? if YES, State position below with Date.
Have any of your relative/associate occupied a political office? if YES, State position below with Date,and relationship with the person
*
- You Attest that the information provided herein is accurate and would notify Financial Trust Company Nigeria Limited to update your Record where any changes occure