ZENITH BANK PLC
ONLINE DOMICILIARY ACCOUNT
FORM
ACCOUNT OPENING REQUIREMENTS
1. Account Opening form duly completed & signed
2. Two (2) specimen signature cards duly completed by each signatory to the account.
3. Two (2) recent clear passport size photograph of each signatory to the account with
their names and signature written on the reverse side.
4. Certificate of exemptions from using “Limited” after name (Where applicable).
5. Certificate of Incorporation (Original to be sighted)
6. Form Co7 –particulars of Directors of the Company certified by the Registrar of
Companies (Originals to be Sighted)
7. Form Co2 –Allotment shares of the Company
8. Residence permit (where applicable).
9. Identification of Signatories – International Passport, drivers’ license or National ID
(Originals to be Sighted).
10. Board Resolution appointing Zenith Bank Plc. as the company’s bankers and
including names of all signatories to the account and directors of the company in
attendance. This must be executed under the company seal.
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11. Mandatory Initial Deposit.
12. A duly completed signatory Personal Information form for each of the signatories to
the account.
13. Document /Evidence of Foreign exchange earned.
CONDITIONS FOR CAPITAL IMPORTATION
14. A Letter of intention to Import Capital addressed to the Bank stating the Investor,
amount to be imported and the purpose.
15. A board resolution from the company authorising the importation of capital.
16. A copy of company’s certificate of incorporation.
17. Foreign currency must be converted to Naira.
18. A certificate of Capital Imported would be issued when the above condition are met.
For importation of loan Capital we will require in addition to 14-16 above.
19. A copy of the executed loan agreement between the lender and the borrower.
20. A copy of the executed offer letter issued by the lender and accepted by the borrower.
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ZENITH BANK PLC
APPLICATION FOR OPENING FOREIGN EXCHANGE RELATED ACCOUNTS
1. NAME OF (COMPANY / INDIVIDUAL):_________________________________________________
2. REGISTRATION CERTIFICATE NO: ____________________________________________________
3. COUNTRY OF INCORPORATION: ______________________________________________________
DATE OF INCORPORATION: __________________________________________________________
4. PARENT COMPANY’S COUNTRY OF INCORPORATION ___________________________________
5. REGISTERED OFFICE BUSINESS ADDRESS: MAILING CORRESPONDENCE
ADDRESS: ADDRESS:
(if different from the Office Address)
6. TELEPHONE NO(s): ________________________________ FAX: ______________________________
E-MAIL: ______________________________________________________________________________
7. RELATED COMPANIES: _______________________________________________________________
8. CURRENCY OF ACCOUNT: _____________________________________________________________
9. SENIOR MANAGEMENT STAFF: ________________________________________________________
S/N NAME TITLE / POSITION NATIONALITY
1.
2.
3.
4.
10. DO YOU HAVE EXISTING CURRENT ACCOUNT WITH ZENITH BANK PLC? ______________
________________________________________________________________________________________
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11. ACCOUNT WITH OTHER BANKS (INCLUDING ZENITH BANK PLC.)
S/N NAME ADDRESS TYPE OF ACCOUNT
1.
2.
3.
4.
12, SPECIMEN SIGNATORIES OF AUTHORISED SIGNATORIES:
S/N NAME OF SIGNATORY ADDRESS OF SIGNATORY CATEGORY
1.
2.
3.
4.
13. COMPANIES MANDATE: ___________________________________________________________
14. TYPE OF FOREING EXCHANGE TRANSACTION. (PLEASE TICK WHERE APPLICABLE)
(a) Ordinary Domiciliary USD GBP EUR
(b) Export Domiciliary USD GBP EUR
(c) Capital Importation USD GBP EUR
(d) Cheque Clearing Only USD GBP EUR
(e) Others (Please specify): ____________________________________________________________
_______________________________________________________________________________
15. SOURCE OF FUNDS: (Name & Details of the Sender/Investor): ______________________________
_______________________________________________________________________________
16. FREQUENCY AND AMOUNT OF INFLOWS (Please tick where applicable) _______________________
(a) Weekly ____________________________________________
(b) Fortnightly ____________________________________________
(c) Monthly ____ ____________________________________________
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(d) Quarterly __________________________________________
(e) Yearly _________________________________________
(f) Others (Please specify) _____________________________________________________
___________________________________________________________________________
17. DISPOSAL OF FUNDS (Please tick where applicable)
(a) Exchange for Naira at Official Rate
(b) Transfer to other Nigerian Domiciliary Account
(c) To Open Letters of Credit/Bills for collection
(d) Cash withdrawals
(e) Transfer to other offshore account
(f) Others (Please specify):
______________________________________________________________________________
______________________________________________________________________________
18. RULES GOVERNING FOREIGN EXCHANGE TRANSACTION:
1. Please note that funds will be used only for eligible transactions.
2. Returns will be rendered to Central Bank of Nigeria on all funds received and utilized.
3. Exchange for foreign currency cash, is subjected to availability. Please note that withdrawals in
foreign currency cash can only be in United States Dollars.
4. Conversion of foreign currency to Naira will be the ruling official rate.
5. There is a surcharge of 1% on all transfer/withdrawals, subject to a minimum of USD30/GBP30
WE HEREBY COMFIRM THAT THE ABOVE INFORMATION ARE TRUE AND AGREE TO
ABIDE BY THE RULES GOVERNING FOREIGN EXCHANGE TRANSACTIONS AS
STATED IN 18 ABOVE.
____________________ _____________________ ___________________
AUTHORISED AUTHORISED AUTHORISED
SIGNATORY SIGNATORY SIGNATORY
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FOR OFFICIAL USE ONLY
I/WE RECOMMEND THE ABOVE CUSTOMER FOR THE SPECIFIED TRANSACTIONS.
________________________ ________________________
ACCOUNT OFFICER BRANCH HEAD
(Name, Signature & Date) (Name, Signature & Date)
________________________
ZONAL HEAD
(Name, Signature & Date)
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SIGNATORY
MANDATE
PERSONAL
FOR DEPOSIT
INFORMATION
ACCOUNTFORM
NAMES: ____________________________________________________________________________
SURNAME FIRST NAME MIDDLE NAME
TITLE: ____________________________________________________________________________
PASSPORT
DATE OF BIRTH: (OPTIONAL) _____________________________________________________
PLACE OF BIRTH: _________________________________________________________________
SEX: MALE FEMALE
NAME OF ACCOUNT:____________________________________________________________
MARITAL STATUS: SINGLE MARRIED WIDOWED
POSTAL ADDRESS: ______________________________________________________________
SUFFIX: ___________________________________________________________________________
CONTACT ADDRESS: ____________________________________________________________
NEXT OF KIN: _____________________________________________________________________
TELEPHONE NUMBER: _________________________________________________________
USUAL NAME: _____________________________________________________________________
MODE OF IDENTIFICATION:
MANDATE _______________________NUMBER: ______________________
SPECIFICATION (IF ANY)__________________________________SIGNATURE (S)
COUNTRY OF ORIGIN: _______________________________STATE: _______________________
COMPANY STAMP REQUIRED? YES NO
LOCAL GOVERNMENT AREA: _______________________________________________________
RESIDENTIAL/
IF CONTACT
YES, AFFIX STAMP ADDRESS:
SPECIMEN HERE: ________________________________________________
____________________________________________________________________________________
MAILING ADDRESS: ________________________________________________________________
E-MAIL ADDRESS: _________________________________________________________________
BUSINESS PHONE: _________________HOME PHONE: ________________ FAX: ___________
MOTHER’S MAIDEN NAME: (OPTIONAL) ___________________________________________
ACCOUNT TITLE: __________________________________________________________________
I hereby attest that the above information is true and complete.
BANK ONLY
_______________________________
SIGNATURE/ DATE VERIFIED BY_______________________
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SIGNATORY PERSONAL INFORMATION FORM
NAMES: ____________________________________________________________________________
SURNAME FIRST NAME MIDDLE NAME
TITLE: ____________________________________________________________________________
DATE OF BIRTH: (OPTIONAL) _____________________________________________________
PLACE OF BIRTH: _________________________________________________________________
SEX: MALE FEMALE
MARITAL STATUS: SINGLE MARRIED WIDOWED
SUFFIX: ___________________________________________________________________________
NEXT OF KIN: _____________________________________________________________________
USUAL NAME: _____________________________________________________________________
MODE OF IDENTIFICATION: ______________________________________________________
COUNTRY OF ORIGIN: _______________________________STATE: ______________________
LOCAL GOVERNMENT AREA: ______________________________________________________
RESIDENTIAL/ CONTACT ADDRESS: _______________________________________________
___________________________________________________________________________________
MAILING ADDRESS: _______________________________________________________________
E-MAIL ADDRESS: _________________________________________________________________
BUSINESS PHONE: _________________HOME PHONE: ________________ FAX: __________
MOTHER’S MAIDEN NAME: (OPTIONAL) ___________________________________________
ACCOUNT TITLE: _________________________________________________________________
I hereby attest that the above information is true and complete.
_______________________________
SIGNATURE/ DATE BANK ONLY
VERIFIED BY_______________________
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MANDATE FOR DOMICILIARY ACCOUNT
NAMES OF ACCOUNT: ____________________________________________________________
POSTAL ADDRERSS: ______________________________________________________________
CONTACT ADDRESS: ______________________________________________________________
TELEPHONE: _____________________________________________________________________
1. NAME OF SIGNATORY: _______________ 4. NAME OF SIGNATORY: ______________
_______________________________________ _______________________________________
CATEGORY CATEGORY
Mobile Phone No.: Mobile Phone No.:
5. NAME OF SIGNATORY: _______________
2. NAME OF SIGNATORY: __________________ _______________________________________
_______________________________________________
CATEGORY
CATEGORY
Mobile Phone No.:
Mobile Phone No.:
3. NAME OF SIGNATORY _______________ 6. NAME: OF SIGNATORY _______________
___________________________________________ _______________________________________
CATEGORY CATEGORY
Mobile Phone No.: Mobile Phone No.:
MANDATE COMPANY STAMP/SEAL SPECIMEN
(if required for mandate)
FOR BANK USE
REMARK: ______________________________________________________________________
CSU OFFICER: ______________________________________________________________________
RSM OFFICER: ______________________________________________________________________
APPROVAL: __________________________________________DATE______________________________