Account Details Personal Information Other Details Account Mandate Welcome to our Personal Account Opening Form. Kindly fill the form below. Ensure all information supplied and correct, current and represent your true personality. Branch BVN * Account Type Jubilee SIMPU Account Jubilee Rainbow Account Jubilee Home Owners Account Jubilee Target Account Jubilee Pink Account Jubilee Korrect Account PROCEED>> Title * Surname * Marital Status * Single Married Others Date of Birth * Mother's Maiden Name * LGA * First Name * Other Names Gender * Male Female Country of Birth Tax Identification Number (if available) State of Orign * CONTACT DETAILS House Number * Street Name * Nearest Bus Stop * City/Town * LGA * State * Mailing Address * Phone Number 1 * Phone Number 2 Email Address NEXT>> ACCOUNT SERVICE(S) (REQUIRED) Card Preferences * Verve Card Matercard Others Electronic Banking Preferences * JLMB Online JLMB Mobile ATM POS Other Electronic Channels Transaction Alert Email Alert (free) SMS Alert (fees apply) EMPLOYMENT DETAILS Employment Status * Employed Self Employed Unemployed Retired Student Others Date of Employment (If employed) Business/Employer's Name Business/Employer's Address State Business/Occupation DETAILS OF NEXT OF KIN Surname * First Name * Date of Birth * Other Names Title (Specify) * Gender * Male Female Relationship * Phone Number 1 * Phone Number 2 Email Address House Number * Street Name Nearest Bus Stop * City/Town * State * LGA NEXT>> Account Name Mandate Authorisation Sole Signatory Signatory: First Name Surname Other Names Class of Signatory Identification Type Identification Number Telephone Number Date * TERMS AND CONDITIONS The account is strictly a Savings Account International Funds transfer is not allowed Provision of further documentation at any point when transacting above the regulated threshold Kindly contact your account officer regarding maximum single deposit amount, maximum cumulative balance, maximum daily withdrawal limit and mobile banking maximum withdrawal transaction In the event that any fraudulent activity is associated with your account, you agree that we have the right to apply restrictions to your account and report to appropiate law enforcement agencies DECLARATION I hereby apply for the opening of account(s) with Jubilee Life Mortgage Bank Plc. I understand that the information given herein is the basis for opening such account(s) and hereby warrant that such information is correct. I further undertake to indemnify the bank of any loss suffered as a result of any false information or error in the information provided to the bank. Name * SUBMIT