Our name may have changed, but our goal remains the same
Account Opening Form
Kindly fill in your details to get started. Ensure you input correct details
Account Type
How did you hear about us?
 Telesales
 Word of Mouth
 Website/Social Media
 Walk-in
 Salesperson
Personal Details

Title

 Mr    Mrs    Miss

Surname

First Name

Middle Name

Gender

Mother’s Maiden Name

Date of Birth

Marital Status

Nationality

State of Origin

Local Government Area

Religion

Highest Level of Education

Other Bank Details


Bank Name

Account Number

Account Name

Bank Verification Number (BVN)

Contact Details


Home Address

Nearest Landmark/Bus Stop

How long have you lived in this address?

Mean of Identification

ID Number

Phone Number

Email

Employment Details


Employment Status

Employment Type

Current Employer/Company

Profession

Current Employer/Company Address

Nearest Landmark/Bus Stop

Net Monthly Income


Account Category
 Joint
 Salary
 Individual


Account Category type

Other Products
 Internet Banking
 Mobile Banking
 ATM Card
 Cheque
 Salary
 Transaction Alert - SMS
 Statement by Email
 Statement by Collection at Bank


Means of Identification

Recent Passport Photograph

Recent Utility Bill

Not more than months from application date

Signature

On a white sheet of paper

Full Name

Date Stamp

Upload Signature





Account opened successfully

Your account has been successfully opened. We will send you login details for you to login using mypecan bank app