Register Business Account

Register Business

Fill the below form to setup a new company account.

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Business Information

Business Name* {{ fieldErrors.BusinessName }}

Email Address* {{ fieldErrors.Email }}

Telephone* {{ fieldErrors.Telephone }}

Mobile* {{ fieldErrors.Mobile }}

Postal Code

Web Address

Address* {{ fieldErrors.Address }}

Legal Status of Applicant* {{ fieldErrors.CompanyLegalStatus }}

List & Particulars of Shareholders

Name*

Nationality*

Country Of Usual Residence*

Address

Name	Nationality	Country of Residence	Address	Actions
{{ shareholder.Name }}	{{ shareholder.Nationality }}	{{ shareholder.CountryOfUsualResidence }}	{{ shareholder.Address }}

List & Particular of Directors

Name*

Nationality*

Country Of Usual Residence*

Address

Name	Nationality	Country of Residence	Address	Actions
{{ director.Name }}	{{ director.Nationality }}	{{ director.CountryOfUsualResidence }}	{{ director.Address }}

State if any Director has ever been convicted of any criminal offence in Nigeria or in any other country:

Convicted of Criminal Act

Details of Conviction

Authorized Representative

Please note that upon successful verification of the business identity, the authorized representative's details will be used to provision the administrator account.

Name of Authorized Representative* {{ fieldErrors.AuthorizedRepName }}

Email* {{ fieldErrors.AuthorizedRepEmail }}

Mobile* {{ fieldErrors.AuthorizedRepMobile }}

Address

Staff List

Name*

Role*

Years of Experience*

Resource Profile*

Name	Years Of Experience	Role	Career Summary	Actions
{{ staff.Name }}	{{ staff.YearsOfExperience }}	{{ staff.Role }}	{{ staff.CareerSummary }}

Supporting Documents

Certificate of Incorporation (CAC) * (pdf files only)

Memorandum & Articles Of Association * (pdf files only)

Tax Clearance Certificate (last 3 years)* (pdf files only)

Organizational Chart* (pdf files only)

Financial Bank Statement/Letter of Comfort (this should be from a bank or a partner providing the funding)* (pdf files only)

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