Mandate Form

SIGNATURE CARD (SAVINGS/INDIVIDUAL CURRENT/JOINT & DOMICILIARY ACCOUNT)

Account Name:

FIRST SIGNATURE

Name of Signatory:

Occupation:

Residential Address (not P.O.Box):

Telephone Number

Mandate Instruction

SECOND SIGNATURE

Name of Signatory:

Occupation:

Residential Address (not P.O.Box):

Telephone Number

Mandate Instruction

CHEQUE CONFIRMATION

You will be required to pre-confirm and N1,000,000 and above cheque. If you would like to have a higher threshold for pre-confirmation, please specify the amount. i.e. The threshold above N1,000,000:

Reference form (optional) only for NGN, USD, GBP, EURO & CFA account opening.

REFERENCE FORM

Account Number: (for official use only)

CAUTION: It is dangerous to introduce any individual not well known to you

Date

FIRST SIGNATURE

Name of Referee:

Address:

To:

First Bank of Nigeria Limited

Branch:

Dear Sir:

Name of Applicant

The above name individual/company wishes to open an account with you. He/She/They is/are well known to me/us and I/We consider him/her suitable to main this account with you.

Referees Bank:

Referees Account Number

Referees Account Name