Scribd
Upload
725 views1 page

Individual Registration Form

The document appears to be a registration form for the Federal Mortgage Bank of Nigeria's National Housing Fund, which collects compulsory savings from employed individuals for housing loans. The form requests personal details such as name, address, employment history, bank details, and next of kin from applicants in order to register for the program. Applicants are instructed to return the completed form along with passport photos to the nearest FMBN office.

Uploaded by

Ezeala Rita
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
725 views1 page

Individual Registration Form

The document appears to be a registration form for the Federal Mortgage Bank of Nigeria's National Housing Fund, which collects compulsory savings from employed individuals for housing loans. The form requests personal details such as name, address, employment history, bank details, and next of kin from applicants in order to register for the program. Applicants are instructed to return the completed form along with passport photos to the nearest FMBN office.

Uploaded by

Ezeala Rita
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FEDERAL MORTGAGE BANK OF NIGERIA

(National Housing Fund Decree 3, 1992) NHF 2

INDIVIDUAL REGISTRATION
A. Please read the form carefully before completing it.
B. The completed form should be returned with two (2) passport photos with your name boldly written on the reverse side
C. Return the completed form to the nearest FMBN office.
Please Affix Passport
D. All field marked * are compulsory.
Here
NHF NUMBER (If any)

*BVN NUMBER:

EMPLOYMENT STATUS Please tick where applicable:


(Current)
Employed Full-Time: Employed Part-Time: Self-Employed:

*Date of Employment (First Appointment): D D M M Y Y Y Y


Employer Name (If Not Self-Employed):
Employment History

Employer Name 1: From: Y Y Y Y To: Y Y Y Y

Employer Name 2: From: Y Y Y Y To: Y Y Y Y

PERSONAL DETAILS
Title (Mr./Mrs./Miss.) *Surname:

*First Name: Other Names:

*Address:

*Gender: Male: Female: *Date of Birth: D D M M Y Y Y Y *Staff ID / IPPIS No:

*Email:

*Mobile Number:

*Customer Bank Name: *Account Number:

*Monthly Salary (Net Pay):

*Marital Status: Single: Married: Estranged: Widowed: Divorced:

NIN:

NEXT OF KIN INFORMATION


*Next-of-Kin Full Name:
*Next Of Kin Mobile Number:

Applicant Signature and Date Employer’s Signature and Date


Official Stamp

You might also like