Agent Enrolment Form – Sterling Alternative Finance

BRANCH *

BVN *

Who introduced you to Wakeel

PERSONAL DETAILS

TITLE *

GENDER *

NAME *

First

Middle

Last

Date of Birth *//

Email *

Phone *

Address *

Address Line 1

City

State / Province / Region

Next of kin *

First

Last

Next of kin Phone number *

Next of kin Address *

Address Line 1

City

State / Province / Region

BUSINESS INFORMATION

BUSINESS NAME *

Address *

Address Line 1

City

State / Province / Region

BUSINESS TYPE/INDUSTRY *

STAFF STRENGTH

BUSINESS WORTH (NGN)

IDENTIFICATION

NATIONALITY *

TYPE OF IDENTIFICATION PROVIDED *

BANK DETAILS

Do you have an Alternative Finance account *

ACCOUNT NO *

AUTHORITY TO OPEN STERLING AGENT WORKING CAPITAL ACCOUNT

I hereby apply for the opening of account with Sterling Bank Plc. I understand that the information given herein and the documents supplied are the basis for my enrolment as an approved Agent of the Bank and opening of account. I therefore warrant correctness of the information. I further undertake to indemnify the Bank for any loss as a result of any information or error in the information provided to the Bank.

Date *

Are you willing to give a refundable 15,000 caution deposit *

Do you agree to do a minimum daily transaction of 200,000 *

Upload Signature *