Savings Account KYC Form

Provide the customer-identification information required to begin an individual savings account application.

01Office and personal data

Office / branchSurname *First name *Middle nameMother's maiden nameMother's nameTitleSexDate of birth *ReligionNationalityMarital statusNicknameUser ID

02Contact information

Phone number 1 *Phone number 2EmailBank Verification Number (BVN) *National Identification Number (NIN)

03Employment information

Name of employerOccupationOffice addressOffice phoneOffice emailCompany/Personal TINAnnual salary

04Permanent home address

VillageTownLGAStateNearest bus stopLandmark

05Residential address

Street numberStreet nameTownCityLGAStateNearest bus stopLandmarkDescription of buildingColour of building

06Identification information

Identification typeOther identification typeID numberPlace of issuanceIssue dateExpiry dateIssuance authority

07Utility bill information

Utility bill typeName on utility billAddress on utility billDate on utility bill

08Spouse information

Spouse's full nameOccupationContact phone

09Next of kin

Full name *Home addressResidential addressPhone number *SexRelationship *

10Other bank accounts and credit history

Other bank nameAccount numberNo outstanding loan and not defaulting?Current running loan and not defaulting?Previously defaulted on any loan?

11Political exposure and foreign residency

Are you politically exposed? *Resident permit numberPermit issue datePermit expiry date

12Corporate, joint or minor account information

Account nameHome addressResidential addressOffice addressTINDate of birthSexPhone numberRelationship

13Referees and certification

Referee 1Referee 2Upload your signature image *PNG, JPG or WebP, maximum 2 MB. Empty margins are trimmed automatically.Date *Time

I certify that the information provided is true and correct, and I agree to submit this KYC form electronically to Bethel Microfinance Bank Limited.

Submitting this form does not automatically open an account, approve a limit increase, or replace any verification and supporting documents the Bank may require.

Your information is sent securely to Bethel Microfinance Bank for review.