Test - Meristem Wealth Management Limited

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Contact Us

Address:
3, Norman Williams Street,
South-West Ikoyi
Lagos State
Nigeria

Email: [email protected]

Tel: +234-(1)-2717350-6

Home
About
- Who We Are
- Board of Directors
Products
Services
Downloads
News
Contact
Sign Up
- Mutual Funds
- Fund Management

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Account Type *

Title

Gender *

Surname *

First Name *

Other Names *

Mother Maiden Name *

Nationality(if dual,please state) *

State of Origin *

Local Govt. Area *

City *

Country *

Marital Status *

Date of Birth *

Mobile no. *

Alternative no.

Email *

Residential Address *

Contact Address *

Title | Account holder 2

Gender | Account holder 2 *

Surname | Account holder 2 *

First Name | Account holder 2 *

Other Names | Account holder 2 *

Mother Maiden Name | Account holder 2 *

Nationality(if dual,please state) | Account holder 2 *

State of Origin | Account holder 2 *

Local Govt. Area | Account holder 2 *

City | Account holder 2 *

Country | Account holder 2 *

Marital Status | Account holder 2 *

Date of Birth | Account holder 2 *

Mobile no. | Account holder 2 *

Alternative no. | Account holder 2

Email | Account holder 2 *

Residential Address | Account holder 2 *

Contact Address | Account holder 2 *

Means of Identification

ID Type (Provide either of the following options) | Account holder 2 *

International Passport
Drivers Licence
National ID Card
Permanent Voters Card

ID No. | Account holder 2 *

Issue Date | Account holder 2 *

Expiry Date | Account holder 2 *

eTCC (Electronic Tax Clearance Certificate) | Account holder 2 *

ID Type (Provide either of the following options) *

International Passport
Drivers Licence
National ID Card
Permanent Voters Card

ID No. *

Issue Date *

Expiry Date *

eTCC (Electronic Tax Clearance Certificate) *

Employment Details

Employment Status *

Employed
Self Employed
Retired
Others

Date of Employment *

Employer's Name *

Employer's / Employement Address *

Occupation *

Source of Regular Income *

Source of Investment (asides regular income)

Gross Yearly Income *

500K - 1M
1M - 5M
5M - 10M
10M & above

Next of Kin Details

Surname *

First Name *

Other Names *

Relationship *

Contact Address *

Mobile No. *

Email *

Bank Details

Bank Name *

Account Name *

Account No. *

Account Type *

Savings
Current

Date of Opening *

BVN *

Investment Details

Initial Investment *

Mode of Payment *

Cheque
Bank Transfer

Mode of Communication *

Email
Letter

Investment Objective *

Income
Growth
Preservation of capital

Other Details

Hobbies

Name

Religion

Favorite colour

Date of Birth

Wedding Anniversary

Details of Person/Entity acting on behalf of Applicant

Registered name of entity (If company, corporation of trust)

Name *

First

Last

Identification

International Passport
Drivers License
National ID Card
Permanent Voters Card

Date of Birth

Residential / Registered Address

Please indicate how you heard about us

Website
Newspaper
Radio Jingles
Seminars
Word of Mouth
Social Media
Others

KYC Documents

Driver's License
International Passport
National ID of the Applicant
Permanent Voters Card
Utility Bill (not older than 3 months from date of transaction)
Passport Photographs of the Applicant or authorized signatory
Special Control Unit on Money Laundering (SCUML) Certificate as applicable to applicant

Account Holder's Signature

Signature *

Date *

Signature *

Date *

Email