Investment Application Form - KYC Financial Investment Ltd.

Personal Information

Title *

Please select your title.

Investor's Full Name *

Please provide your full name.

Phone Number *

Please provide a valid phone number.

Email Address *

Please provide a valid email address.

Date of Birth *

Please provide your date of birth.

Gender *

Please select your gender.

Occupation *

Please provide your occupation.

Employer/Company Name

Residential Address *

Please provide your residential address.

State *

Please select your state.

Local Government Area *

Please provide your LGA.

Next of Kin Information

Next of Kin Full Name *

Please provide next of kin name.

Relationship with Next of Kin *

Please select a relationship.

Next of Kin Phone Number *

Please provide next of kin phone number.

Next of Kin Email Address

Next of Kin Address *

Please provide next of kin address.

Next of Kin Passport/ID Document *

Upload a clear copy of passport or ID document (PDF, JPG, PNG - Max 5MB)

Please upload the next of kin's passport or ID document.

Identification Information

Primary Identification Type *

International Passport

Voter's Card

National ID

Driver's License

Please select an identification type.

ID Number *

Please provide your ID number.

ID Expiry Date

Upload ID Document (Optional)

Upload a clear image or PDF of your ID document

Bank Account Details

Bank Name *

Please select your bank.

Account Number *

Please provide your account number.

Account Name *

Please provide your account name.

Account Type *

Please select your account type.

Investment Details

Investment Category *

Please select an investment category.

Amount Invested (₦) *

Please provide a valid investment amount (minimum ₦10,000).

Amount in Words *

Expected Return (₦)

Date Invested *

Please select the investment date.

Date Due

Source of Investment Funds *

Please select the source of your investment funds.

Declaration and Terms

I declare that the information provided in this form is true, accurate, and complete to the best of my knowledge. *

You must agree to the declaration.

I have read and agree to the Terms and Conditions and Privacy Policy of KYC Financial Investment Ltd. *

You must agree to the terms and conditions.

I consent to receive marketing communications and updates about investment opportunities from KYC Financial Investment Ltd.

Digital Signature

Digital Signature (Optional)

Upload a clear image of your signature (PNG, JPG, or JPEG format)

By submitting this form, you agree to our terms and conditions. Your information will be kept confidential and secure.