Gosifechukwu Microfinance Bank

Account Opening Form — fill all required fields. Documents uploaded will be used for KYC/AML checks. BVN & NIN verification are manual.

Personal Information

Full name *

Date of birth

Phone number *

Email *

Residential address *

Building color (if painted)

Gate color (if gated)

Nearest landmark

Home town

Village

Local government area (LGA)

Business / Employer address (if applicable)

BVN (required)

NIN (required)

Occupation Source of funds / expected monthly inflow

Next of Kin

Full name

Phone number

Relationship with next of kin

Next of kin address

Uploads (Required)

Passport photo (customer holding paper with handwritten “Gosife MFB” & date) * NEPA / Utility bill (upload) * Signature image (scan or photo) *

Account Type

Choose account type *

Added Services

SMS Alert ATM Card POS Machine Mobile App

AML / KYC & PEP Questionnaire

Are you a Politically Exposed Person (PEP)? Are any of your close associates or family PEPs? Have you been subject to any criminal conviction related to financial crimes? Purpose of account (brief) Expected monthly transaction volume (estimate) Are funds from third parties (not yours)?

I confirm the information supplied is true and consent to manual KYC checks by Gosifechukwu MFB.

This form will be emailed to info@gosifechukwumfb.com. Bank staff will manually forward details to WhatsApp: 09165417356.