SAVINGS REGISTRATION FORM - Nexus Multipurpose Cooperative Society

KINDLY NOTE THAT REGISTRATION FEE IS ₦2,000 AND IT IS NOT REFUNDEDABLE

Step 1: Personal Information

Upload your Passport photo (JPEG, PNG)*

First Name*

Middle Name (Optional)

Last Name

E-mail

Phone Number (ex: 08023456789*

Date of Birth*

Date of Birth

Sex

Marital Status*

Residencial Information:

Address*

City*

State*

Country*

Step 2: Employment Information

Employment Status*

Employer/Company Name*

Business Type (if self-employed):*

Occupation/Profession*

Monthly Income/Salary (₦)*

Length of Employment:*

Step 3: Next of Kin Information

Next of Kin Full Names*

Next of Kin Phone Number*

Next of Kin Address*

Relationship of Next of Kin*

Step 4: Product/Service of Interest

Please Specify the type of Savings*

How did you hear about us?*

Step 5: Payment Proof and Consent

Submit your receipt of payment of registration*

By submitting this form, I consent to Nexus Cooperative collecting and processing my personal data for the purpose of evaluating my application and providing the requested product or service.

I acknowledge that the information provided is accurate and complete to the best of my knowledge.

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You can submit this form only once.

Our custom savings form is designed to streamline the application process for individuals interested in opening a savings account with Nexus Cooperative. By providing essential personal and financial information in a structured manner, applicants can efficiently submit their details for consideration.