CLIENT REGISTRATION FORM

It is important that all our prospective Clients/Partners fill this questionnaire below and attach all relevant documents as requested. To comply with the prescribed KYC/AML Laws of the Money Laundering Prohibition Act 2011 (as amended), as well as those of the Special Control Unit against Money Laundering (SCUML) kindly fill and note all the required information marked with asterisk must filled and attached with this form. We assure you that all information provided will be handled in strict confidentiality and will be used only by TBSMB.

PLEASE KINDLY NOTE THAT ALL THE REQUIRED DOCUMENTS ARE TO BE ATTACHED AND SUMMITED TO THE EMAIL ADDRESS PROVIDED BELOW. FAILURE TO DO SO WILL MAKE THE REGISTRATION INCOMPLETE

THANK YOU.

Please enable JavaScript in your browser to complete this form.

Respondent Full Name

Contact Email

Name Of Business/Company

Shop/Office Number

Kindly Explain Nature Of Business

Trading name of business/company (if different from the registration name)

Permanent or Registered Address Of Business

Contact Phone Number

Phone 2

Name of Contact Person (First Name & Last Name)

RC/BN No* (write as seen on the CAC registration form e.g RC 1234578)

Country and Date of incorporation

Full Name of Guarantor

Email Of Guarantor

Phone Number Of Guarantor

Phone 2

Is any of your relative(s) working with your company?

If yes, what is your relationship?

Phone Number of relative

Email Address of relative

Any other details you need to disclose?

I/We hereby attest that all the above information & documents submitted with this form for (organization) are all correct. In alignment with NDPR, we will use this data internally and we will not share your information within third party without your approval, you can view our Privacy Policy on www.tbsmb.gov.ng

Yes I agree
No

Attach copies of relevant Documents (original may be requested for sighting, This is needed to complete this form.)

Kindly Attach your CAC Certificate, Memorandum and Articles of Association, CAC F, CAC

Please attach copy of National ID of beneficial owner(s) of the organisation (e.g. drivers’ license, voter’s card, international passport, or other government issued ID)

Kindly send ALL REQUIRED DOCUMENTS above to ESTATE@TBSMB.GOV.NG with the subject “REGISTRATION FORM (COMPANY NAME AND OFFICE/SHOP NUMBER)”

KINDLY ATTACH ALL DOCUMENTS AND SEND TO THE EMAIL BELOW