INDIVIDUAL ACCOUNT OPENING FORM

FOR OFFICIAL USE ONLY

BVN NO.

ACCOUNT NO. BRANCH

ACCOUNT TYPE

TYPE OF ACCOUNT CURRENT SAVINGS JOINT CURRENCY NGN(₦) USD($) GBP(£) EUR(€)

OTHER TYPES OF ACCOUNT

PURPOSE OF ACCOUNT SALARY INVESTMENT CHILDREN OTHER

(Please Specify)

PERSONAL INFORMATION

TITLE SURNAME

FIRST NAME OTHER NAMES

DATE OF BIRTH GENDER MOTHER’S MAIDEN NAME

D D M M Y Y Y Y M F
Male Female PLACE OF BIRTH
MARITAL STATUS SINGLE MARRIED OTHER
(Please Specify)

STATE OF ORIGIN LOCAL GOVT. AREA

NATIONALITY RELIGION

NO. OF CHILDREN NO. OF DEPENDANTS

For Non-Nigerians
ISSUE DATE EXPIRY DATE
RESIDENT PERMIT
D D M M Y Y Y Y D D M M Y Y Y Y
NUMBER

EDUCATION O’ LEVEL STUDENT GRADUATE POST-GRADUATE OTHER

(Please specify)

CONTACT DETAILS

EMAIL ADDRESS

SOCIAL MEDIA
FACEBOOK LINKEDIN TWITTER INSTAGRAM
Residential Address
HOUSE
STREET NAME
NUMBER

NEAREST BUS-STOP/ CITY/TOWN

LANDMARK

LOCAL GOVT. AREA STATE

LENGTH OF STAY AT ACCOMMODATION TYPE RENTED OWNED

CURRENT ADDRESS
Yr(s) Mth(s)

COUNTRY
MAILING ADDRESS
ve address)
MOBILE OTHER
NUMBER NUMBER
(Country Code) (Country Code)
 IDENTIFICATION

NATIONAL ID DRIVER’S LICENSE INT’L PASSPORT VOTER’S CARD OTHERS

(Permanent) (Please Specify)

ISSUE EXPIRY
ID. NUMBER D D M M Y Y Y Y D D M M Y Y Y Y
DATE DATE

TAX IDENTIFICATION NUMBER

SOCIAL SECURITY NUMBER _ _

Are you a US Permanent Resident or citizen? YES NO
If yes, complete a W9 form for FATCA,

ACCOUNT SERVICES (Please tick applicable option below)

*CARD TYPE DEBIT TRAVEL DO YOU WANT A CREDIT CARD? *YES NO

* Fees Apply * If yes, complete a credit card application. Fees apply.

*E-BANKING UNIONONLINE UNIONMOBILE MCASH *PREFERRED USERNAME

Internet Banking
*All checked E-Banking services are provided automatically when the account is opened. *Special characters not allowed

COMMUNICATION PREFERENCES EMAIL ALERT SMS ALERT *EMAIL INDEMNITY

*please confirm that you have provided a valid email (Free) (Fees Apply)

DO YOU WANT A CHEQUE BOOK? YES NO IF YES, NUMBER OF LEAVES 25 50 100

(Fees Apply)

FOR A HIGHER PRE-CONFIRMATION LIMIT, PLEASE SPECIFY (i.e. above ₦150,000:00) =

N K
* Note: Terms and conditions apply. Kindly visit www.unionbankng.com/terms-and-conditions for more information

EMPLOYMENT/INCOME INFORMATION

EMPLOYMENT STATUS EMPLOYED SELF EMPLOYED UNEMPLOYED RETIRED STUDENT

ANNUAL SALARY/INCOME LESS THAN ₦500,000 ₦500,000 < ₦1.5M ₦1.5M < ₦3M ₦3M < ₦7M

₦7M < ₦12M ₦12M < ₦20M ₦20M < ₦33M ABOVE ₦33M

BUSINESS/EMPLOYER’S NAME JOB TITLE

BUSINESS/
EMPLOYER’S PHONE NUMBER
(Country Code)

OFFICE/HOUSE NUMBER STREET NAME

NEAREST BUS-STOP/LANDMARK

CITY/TOWN LOCAL GOVT.

STATE
AREA

For Employed

NATURE OF EMPLOYMENT PERMANENT CONTRACT CONFIRMED UNCONFIRMED

JOB LEVEL ENTRY MIDDLE MANAGEMENT SENIOR MANAGEMENT EXECUTIVE MANAGEMENT

YEARS WITH CURRENT LESS THAN 1 - 2 YEARS 3 - 6 YEARS 7 - 10 YEARS ABOVE 10 YEARS
EMPLOYER 1 YEAR
For self employed

TYPE OF BUSINESS TRADE PROFESSIONAL SERVICES RETAILER OTHERS

(Please specify)

SOURCES OF FUNDS TO 1.
THE ACCOUNT
2.

EXPECTED ANNUAL INCOME FROM OTHER SOURCES

SOURCES OF OTHER INCOME BUSINESS INVESTMENT OTHERS

(Please specify)

For Business
NAME OF ASSOCIATED BUSINESS(ES) 1.

2.

TYPE OF BUSINESS
 NEXT OF KIN

TITLE SURNAME

FIRST NAME OTHER NAMES

RELATIONSHIP DATE OF BIRTH D D M M Y Y Y Y GENDER M F

Male Female

MOBILE NUMBER OTHER NUMBER

(Country Code) (Country Code)

EMAIL ADDRESS

HOUSE NUMBER STREET NAME

NEAREST BUS-STOP/LANDMARK

CITY/TOWN LOCAL GOVT.

AREA
STATE COUNTRY

Complet erent from Next of Kin above

SPOUSE’S NAME
Surname First

SPOUSE’S DATE OF BIRTH D D M M Y Y Y Y

SPOUSE’S OCCUPATION

ACCOUNT(S) HELD WITH OTHER BANK(S)

ACTIVE/
S/NO NAME AND ADDRESS OF BANK/BRANCH ACCOUNT NAME ACCOUNT NUMBER DORMANT

DATA PROTECTION NOTICE

Union Bank of Nigeria Plc (“the Bank”) will process the above data, along with any other data you subsequently give us, in terms of the Nigerian Data
Protection Regulation 2019. The data will be used to give you statements and provide the Bank's products and services to you; for internal assessment
and analysis; for the detection and prevention of fraud and other criminal activities which the Bank is under legal obligation to report; to develop and
improve the Bank's services; for direct marketing, such as to inform you, by mail, telephone, e-mail or other electronic means, about other products

purposes For more information, please read our Privacy Notice on our website. Please note that your personal data may be disclosed to, exchanged
with or processed by employees of the Bank. You have the right to be informed by the Bank, at your request, about the personal data held by the Bank
about you that is processed and to request to correct such information where necessary. Should the data you provided to the Bank change, the Bank
must be informed without undue delay.

I/We hereby consent to the processing of my/our Personal Data (within or outside Nigeria), including transfer of my/our Personal Data to any third
party for reasons associated with the purpose for which the data is being processed as stated above.

DECLARATION

I hereby apply for the opening of an account with Union Bank of Nigeria Plc. I have read the terms and conditions governing the account and those
relating to various products and services that I have requested for, as stated on the Bank’s website www.unionbankng.com/terms-and-conditions,
and I agree to be bound by them. I also indemnify the Bank fully for acting on all email instructions issued from the email address provided.

NAME OF ACCOUNT HOLDER SIGNATURE

DATE D D M M Y Y Y Y

NAME OF ACCOUNT HOLDER SIGNATURE

DATE D D M M Y Y Y Y
JURAT (This should be adopted where the applicant is not literate or is blind and the form is read to him or her by a third party)

NAME OF INTERPRETER

ADDRESS OF INTERPRETER

MOBILE NUMBER OTHER NUMBER

(Country Code) (Country Code)

LANGUAGE OF
INTERPRETATION
I agree to abide by the content of this agreement and acknowledge that it has been truly and audibly read over and explained to me by an interpreter.

MAGISTRATE/
MARK OF CUSTOMER/THUMBPRINT COMMISSIONER FOR OATHS

DATE D D M M Y Y Y Y SIGNATURE

OFFICIAL USE ONLY

AUTHENTICATION FOR POLITICALLY EXPOSED PERSONS

IS THE APPLICANT A POLITICALLY EXPOSED PERSON? *YES NO

*If “Yes”, please provide details _________________________________________________________________________________________________

IDENTIFY THE CUSTOMERS RISK CATEGORY LOW MEDIUM HIGH

ACCOUNT CODES

BRANCH CODE SEGMENT C ODE EMPLOYER CODE

INTRODUCER CODE REFERRAL CODE RM CODE

ANCHOR CODE SUPPLIERS CODE DISTRIBUTORS CODE

DEBIT CARD TYPE VERVE MASTERCARD SALARY PAYMENT DATE (DAY OF THE MONTH): D D
(If customer is employed)

REQUIREMENT CHECKLIST TYPE OF ACCOUNT CURRENT SAVINGS JOINT

S/N DOCUMENT REQUIRED CHECKED DEFERRED WAIVED

1. DULY COMPLETED ACCOUNT OPENING FORM

2. SPECIMEN SIGNATURE CARD DULY COMPLETED

3. TWO (2) RECENT PASSPORT PHOTOGRAPHS

4. TWO (2) INDEPENDENT SATISFACTORY REFERENCES

5. PROOF OF ID: INT’L PASSPORT, DRIVER’S LICENSE, NATIONAL ID CARD,

VALID VOTERS CARD, ETC. (Original must be sighted)

6. PROOF OF ADDRESS: UTILITY BILLS, ETC

(c opy is acceptable if original is not held)

7. RESIDENT PERMIT
(For non Nigerians)

8. LETTER FROM EMPLOYER (FOR SALARY ACCOUNT)

9. TAX IDENTIFICATION / SOCIAL SECURITY NUMBER

10. LOAN AGREEMENT FORM

(Optional)

ACCOUNT OPENED BY ACCOUNT AUTHORIZED BY

NAME NAME

DATE D D M M Y Y SIGNATURE DATE D D M M Y Y SIGNATURE