Account Update Form - Retail Banking

Update type ✔ Signature Address Contact details Others (specify)

Title ✔ Mr. Mrs. Ms. Dr. Prof. Others (specify)

First name Edwin Surname mwanza

Other name(s)

Account number 9 3 4 0 0 4 7 3 0 2 2 6 1

TPIN 2002253200

Sex ✔ Male Female Date of birth D 5

1 M 1
0 3
D M Y 9
Y 9 Y 9
Y

Maritual Status Single ✔ Married Divorced Widowed Next of kin Fanely mwanza

Number of children nill Number of dependants 2

NRC 1 8 9 0 1 6 / 1 9 / 1 Passport No.

Occupation job Employer Javan Banda

Tenure with employer Accountant Highest Education University of zambia

Monthly income 2750

Mobile number 0776661214 Other number 0772861634

Email address edwinmwanza777@gmail.com

Physical address Chongwe ngwerere sewerage

Postal address ngwerere resident

For signature update only

Signature Signature

I/We confirm that the information provided is complete and correct

Date D 6
1 0 3
D M Y 0
M 2 Y 4
Y 2 Y

Signature

FOR OFFICIAL USE ONLY

Branch Name Digital

Classification - Low/High high

Processed by
Edwin mwanza Authorised by
Zanaco