AGRO-INVESTMENT FORM
DATE        DD/MM/YYYY
   Ibasa Farm Settlement, Saterlite Town, Lagos
   +234 805 296 7211 +234 706 732 7427 +234 803 185 8700                                     info@gocfarms.com.ng              www.gocfarms,com,ng
INSTRUCTION: Please type all information in CAPITAL LETTERS. Fill out this form completely. Write N/A on fields that are not applicable and do not leave any blank
spaces
                                               TRANSACTION DETAILS
   Investor Name
   Investor ID
   Investment Name
   Invested Amount
   Amount in Words
   Investors Phone No.
   Email
                                                    PAYMENT DETAILS
   Mode of Payment                     Cheque            Direct Deposit                                If Cheque Payment please Specify The Following:
                                       Transfer          Others ___________________                    Cheque No.                             Date
   Investment Name                                                                                     Band/Branch
                                                              DECLARATION
 I/We hereby declare that all information disclosed herein is correct, complete and truly stated. I/We hereby declare that I/We am/are authorized
 to make this investment and that the said amount invested in GOC Farms is gotten through legitimate sources only.
 I/We am/are fully aware that only upon submission of complete information and documentary requirements will the transaction be processed.
 I/We have read and understood the General Terms and Conditions for this investment and will solely rely on it for all isues arising herein under.
               Authorized Signatory                                  Authorized Signatory                                     Authorized Signatory
               Investor Specimen A                                   Investor Specimen B                                    Account Processing Officer
                                                     IMPORTANT REMINDERS
 As proof of your investment, a Confirmation Notice will be sent to you later than 7 banking days with receipt for amount invested
 Documents and transactions received before 6 noon cut-off will be processed within the same business days or before
 Investment Application Form and validated deposit slip or copy of cheque issued should be:
    I. Submitted directly to: GOC Farms
  ii. Deposit Bank: UBA - 2053958723 - Adokpe Oyilonye Grace
 iii. Send email to adokpegrace@live.com
                                INVESTMENT OFFICER AKNOWLEDGEMENT
       Date Recieved
       Recieved By
                                                    GOC FARMS USE ONLY
       Value Date                                                              Duration of Investment
       Processed By                                                             Authorized by
       Date Processed                                                          Date Authorized