Account Opening Form - Individual

Take control of your financial future with us. Open an account today and start your journey towards financial success. Fill out our simple online registration form below.

- Step 1 of 6

Funds

Amount (₦)

Amount in words

Title

Full name

Gender

Male
Female

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you have a mailing address outside Nigeria?

Yes
No

Mail address outside Nigeria

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of birth

Place and country of birth

Mobile number 1

Mobile number 2

Nationality

State of origin

LGA of state of origin

Residency status

Permanent
Temporary

Resident permit number (if applicable)

Permit issue date

Permit expiry date

ID type

International Passport
Drivers License
National ID Card
Others

If others please specify

ID number

ID issue date

ID expiry date

Place of issue

Preferred means of communication

Post
E-mail
In Person

Applicant's signature

Click or drag a file to this area to upload.

Date

Employment status

Salaried Employment
Self-employed
Retired
Unemployed

Occupation

Employer's address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Title

Name

Gender

Male
Female

Date of birth

Relationship

Mobile number

Email address

Contact address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Dividends / interest

Re-invest in fund
Pay out

Please specify mode of payment

Transfer
Cheque

Cash is not an acceptable means of payment.

I / We hereby instruct Radix Asset Management Limited to make direct transfer(s) into my account details as shown below:

Account name

Bank name

Branch name

Account number

Sort code

Bank Verification Number (BVN)

How did you hear about us?

Newspaper advert
Internet
Friend
Radio campaign
TV
Others

If others please specify

Account name

Name of signatory

Passport photograph

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Passport photograph

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Passport photograph

Click or drag a file to this area to upload.

Signature

Click or drag a file to this area to upload.

Signature

Click or drag a file to this area to upload.

Signature

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Class