PLEASE COMPLETE THE FORM ACCURATELY Dunbell - Corporate Account Open Questions marked by * are required. 1.) INSTITUTIONAL (CORPORATE) INVESTORS DATA Type of Investor: * Trust (Non – Nigerian not applicable) Estate Company Corporation Association Other Investors Name of Investor: * RC No: * Street Address: * Nearest B/Stop * City: * State: * Postal Address: Phone Number(s) * Fax Number Email Address: 2.) AUTHORISED SIGNATORY/DIRECTOR (Documentation must be submitted authorizing representative to open a Stockbroking Account and conduct all future transactions. “See supporting Documents section” below. A Corporate (institutional) Investor Account may have more than one authorized representatives. Additional representatives will need to complete a physical form and append their signature. Title: * Dr. Mr. Mrs Miss Others Surname: * First Name * Other Names: Daytime Phone Number: * Upload recent passport photograph * 3.) SUPPORTING DOCUMENTS The following documents may be emailed as attachment or physical copies sent to our office. Originals of supporting documents will be requested for sighting during review of your application. * Certificate of incorporation * Memorandum and articles of association certified by CAC; * CAC form co7 certified by CAC * A letter indicating the objective(s) for opening the account and the letter should also indicate the expected origin of the funds to be used during the relationship; * A letter duly signed by the Managing Director of the company introducing the Authorized Representative(s); * A Board Resolution appointing Dunbell Sec as broker * If the Account Owner is an estate, provide a certified copy of a court order establishing the estate and naming the legal representatives of the estate that is authorized to act as an Authorized Account Representative for the account of the estate; * If the account owner is a trust, provide a copy of the trust instrument and a certificate signed by the trustee(s). In addition to the authorized representative is expected to provide: * Photocopy of international passport, Driver’s license or National Identity Card * 3 months receipts from any public utilities. 4.) REFEREE Surname (i): * First Name(i): * Other Names(i): Account Number: * Address(ii): * City (no abbrevaitions): * State(ii): * Phone Number: * Fax Number: Bank Details: * Bank Name: * Bank Account Number: * Bank Sort Code: * Date Account Opened (dd/mm/yyy) * Bank Verification Number: * Declaration *Please be informed that in compliance with the anti-money laundry legislation, transactions above N1,000,000.00 and N5,000,000.00 for individual and corporate organization respectively, will be reported to the central bank of Nigeria (CBN) or Securities and Exchange Commission (SEC). We confirm that the information given on this account opening form is true; That accounts are to be adequately funded and debited balances, if any, must be cleared within 3 days of its occurrence; We Hereby declare that we understand the conditions stated above and agree to comply with the said conditions. Agree Disagree