Authorised Mandate Form (BVN) – Apply4Me

Authorized Mandate Form (BVN)

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Staff Code

Select Branch

Ticket Number

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I have matched imputed details with supplied record to ascertain following :

Surname

Surname Check

First name

First name Check

Middle name

Middle name Check

Others

Data of Birth check
Gender check M/F
Email address check
Telephone Number check

Code following First

Caution:

Before completing the disclaimer section below, we advise you thoroughly check again to see that entered details correspond with supplied information. With BVN you’re only enrolled once and any amendment or alterations required due to data wrongly entered would have to be resolved by the applicant dealing directly with the Central Bank of Nigeria which could run into weeks.

Enrolment Date

NAME OF APPLICANT *

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Last

Signature

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