Client Account Opening Form Individual Account Opening Form Office Address: Nigerian Girl Guides Association (NGGA) Building 16, Omo Osagie Street, Off Awolowo Road, S.W. Ikoyi, Lagos. Contact us: 08038033080, 08023171118, 08182276708 Send us an email at info@centrepointng.com Visit our website for more information—https://centrepointng.com. CLIENT ACCOUNT MANDATE AND TERMS OF OPERATION (a) Undertake at all times to maintain a credit balance of N2000.00 (two thousand naira) in my/our account with you. (b) Authorise you to purchase and sell securities and other ancillary services on my/our behalf and to pay all commissions, fees, duties, interest, taxes and other expenses, etc., in connection with such services rendered. (c) Authorise you to send all communication to me/us at the address given below or to such other address as I/we may from time to time give in writing. All communication so sent whether by mail, telegraph, messenger or otherwise, shall be deemed to be given to me/us personally whether actually received or not, and the cost thereof shall be for my/our (d) Undertake not to hold you responsible for delays in the transmission of orders due to breakdown or failure of transmission or communication facilities or for any other causes beyond your reasonable control or anticipation. (e) Authorise you to charge interest at the prevailing market rate per month of 30 days counted from the appropriate settlement date on any debit balance on my/our account in your books. (f) Authorise you to sell any securities held by you on my/our behalf if the debit balance on my/our account at any time exceeds 50% of the market value of the securities. (g) Authorise you to debit my/our account with your annual ledger fee (currently N1000.00 p.a.). This is, however, subject to review by management. 1. Our contract notes will be forwarded to your e-mail automatically or provided on demand as evidence of any transactions made. 2. A full statement of account will be provided/forwarded to your e-mail on demand. * Indicates required question INDIVIDUAL INFORMATION SHEETKindly complete correctly.Client Status:NewExistingFull Name (Surname First): *E-mail: *Confirm Email Address *Gender: *MaleFemaleStreet Address *CityState/ProvinceL.G.ACountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweDate of Birth: *Business/OccupationTelephone Number: *0 / 11Emergency Contact DetailsNext of Kin: *Next of kin relationship: *Phone No of Next of Kin: *Mother's Maiden Name:If married, please state spouse's name and address:How did you hear about Centrepoint Investments Limited?WebsiteNewsletterAdvertisementFriendOtherBANK DETAILSKindly ensure account number and BVN details are correct and complete.Bank Name *Access Bank|044Access Bank (Diamond)|063Citibank Nigeria|023Ecobank Nigeria|050Fidelity Bank|070First Bank of Nigeria|011First City Monument Bank (FCMB)|214Globus Bank|103Guaranty Trust Bank (GTBank)|058Heritage Bank|030Keystone Bank|082Polaris Bank|076Providus Bank|101Stanbic IBTC Bank|221Standard Chartered Bank|068Sterling Bank|232Suntrust Bank|100Titan Trust Bank|102Union Bank of Nigeria|032United Bank for Africa (UBA)|033Unity Bank|215Wema Bank|035Zenith Bank|057Kuda Bank|50211Opay|999992PalmPay|999991Moniepoint MFB|50515VFD Microfinance Bank|566FairMoney Microfinance Bank|51318Carbon Microfinance Bank|565Sparkle Microfinance Bank|51310Eyowo Microfinance Bank|50126Rubies Microfinance Bank|125Hasal Microfinance Bank|50383ALAT by Wema|035AAccount: Name *Bank Account Number: *0 / 10BVN *Your BVN is securely handled and used only for verification purposes.0 / 11Signature *(Kindly sign on a white piece of paper). Upload 1 supported file: .jpg| jpeg| jpe. Max 1 MB.Choose FileNo file chosenDelete uploaded fileDOCUMENTATION REQUIREMENTSKindly provide the following listed documents. DOCUMENTATION REQUIREMENTS Kindly provide the following listed documents. (1) 2 passport Photographs (2) Utility Bill (PHCN, Water Bill etc.) Kindly ensure the address on the uploaded utility bill is the same as the address filled earlier and not later then 3 months (3) Valid means of identificationPassport Photograph *Upload up to 5 supported files. Max 5 MB per file. File types allowed, .jpg| jpeg| jpe| .pngDrag and Drop (or) Choose FilesUtility Bill (PHCN, Water Bill, Waste Mgt Bill) not later then 3 months *Upload up to 5 supported files. Max 10 MB per file. File types allowed .pdf| jpeg| jpgDrag and Drop (or) Choose FilesValid ID (NIN, Voters card, driver's license, or International Passport) *Upload up to 5 supported files. Max 10 MB per file. File types allowed, .jpg| jpeg| jpeDrag and Drop (or) Choose FilesINVESTOR'S BANK ACCOUNT UPDATE FORM FOR DIRECT SETTLEMENTChoose "No" if you want to actively trade on your account.Do you Opt for "Direct Cash Settlement (DCS)"? *YesNo Data Privacy Notice Centrepoint Investments Limited respects your privacy and is committed to protecting your personal information in line with the Nigeria Data Protection Regulation (NDPR) and applicable regulatory requirements. Any information you provide through this form will be used only for lawful purposes and handled in accordance with our General Data Privacy Policy. By signing or submitting this form, you give your consent for Centrepoint Investments Limited to collect and process your personal data to onboard you as a client and to process your application effectively. Consent *I have read and understood the Data Privacy Notice and consent to the processing of my personal data for the stated purpose.A copy of your responses will be emailed to the address you provided. Submit