Estate Account Form

ESTATE ACCOUNT OPENING FORM

Deceased Name *

Sex*

Date Of Death*

Address*

State*

LGA*

Nationality*

Bank Name:

Account Name*

Account Number*

Bank Verification Number*

Bank Account Opening Date*

Death Certificate*

Letter of Administration/Probate*

Passport Photograph of the Deceased*

News Paper Publication*

Letter of Appointment as Stock Broker*

Power of Attorney if Applicable*

Name*

Signature*

FullName ( Administrator 2)*

Signature*

Full Name ( Administrator 3)*

Signature*

Full Name ( Administrator 4)*

Signature*

Investment Objective

Investment Experience

Investment Time Frame

Are you a permanent residence of any other country?

Have you occupied any political office? If yes, kindly state the last two (2) political offices occupied.

Date from

g. Have any of your close relatives/associates occupied a political office?If any, kindly state the names and your relationship with such person:

Yes No

1. Name

Relationship

Position held

Date: from

2. Name

Relationship

Position held

Date: from

I attest that the information provided herein is accurate and would notify Financial Trust Company Nigeria Limited to update my record where any change occurs

ESTATE ACCOUNT OPENING FORM

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