NSL – Individual Account Opening Form

Step 1 of 9

Personal Information

Provide your personal details exactly as they appear on your identification document.

Account Type

Category of Account *

General Nominee

Personal Information

Title *

First Name * First name is required.

Middle Name

Last Name * Last name is required.

Passport
Photo

Demographics

Religion *

Gender *

Male Female

Please select gender.

Date of Birth * Date of birth is required.

Place / Country of Birth *

Marital Status * Please select marital status.

State of Origin (Nigerians)

LGA

Mother's Maiden Name *

Contact Details

Residential Address * Residential address is required.

Mailing Address

Personal Email Address * A valid email address is required.

Existing CHN

Mobile No * Mobile number is required.

City Code

Country Code

Landline No

City Code

Country Code

Residence & Nationality

Country of Residence *

Nationality *

Residence Indicator *

Resident Non-Resident

Date of Entry into Present Residence (Non-Nigerians)

Do you carry another country's passport other than Nigeria?

Yes No

State the country

Identification

ID Type *

Int'l Passport Driver's License National ID PVC

Please select an ID type.

ID Number * ID number is required.

Issue Date

Expiry Date

Place of Issue

Documents Upload

ID Upload*

Signature*

Proof of Address*

Do you want online access to your account?

Yes No

Preferred Means of Communication

Email Post In Person

Step 2 of 9

Employment Details (Primary)

Tell us about your occupation.

Employment & Financial Details

Educational Qualification *

Employment Status * Please select employment status.

Occupation / Line of Business *

Employment Segment

Job Title*

Years in Present Employment

Company / Business Name*

Company / Office Address*

WhatsApp Number

Official Email Address

Official Telephone Number(s)*

City Code

Country Code

Average Annual Income *

Less than ₦10m ₦10m – ₦50m Above ₦50m

Please select your income range.

Sources of Funds * Please describe your sources of funds.

Is this a Joint Account?

Yes No

If yes, the next steps will collect the second account holder's details.

Step 3 of 9

Joint Account Holder (Personal)

Details for the second signatory on the account.

Step 4 of 9

Employment Details (Joint)

Occupation details for the joint account holder.

Employment & Financial Details

Educational Qualification*

Employment Status*

Full Time Part-Time Retired Self Employed Others

Occupation*

Employment Segment

Years in Present Employment

Job Title*

Company / Business Name*

Company / Office Address*

Official Telephone Number(s)*

City Code

Country Code

WhatsApp Number

Official Email

Average Annual Income*

Less than ₦10m ₦10m – ₦50m Above ₦50m

Sources of Funds*

Skipping joint employment details for single account.

Step 5 of 9

Investment Information

Details about your investment goals.

Purpose & Referrals

Purpose of Investment * Please state your investment purpose.

Who Introduced You to NSL?

Step 6 of 9

Client Bank Details

Your bank account name should correspond with your CSCS account name.

Bank Account Information

Bank Name * Bank name is required.

Account Number (NUBAN) * Please enter a valid 10-digit account number.

Account Name * Account name is required.

Branch

Bank Verification Number (BVN) * Please enter a valid 11-digit BVN.

Date Bank Account was Opened

Step 7 of 9

Next of Kin

Provide details of your nominated next of kin beneficiaries.

Step 8 of 9

Minor, Questionnaire & Authorization

Complete the investor questionnaire, minor investments, and authorize your application.

Are you investing on behalf of a minor (person under 18)?

Yes No

Investment on Behalf of a Minor

A copy of the Birth Certificate must be attached

Passport photograph is required every 2 years after the account is opened.

Name of Minor *

Date of Birth *

Gender *

Male Female

Relationship to Applicant *

👶

Minor's
Photo

Minor's Documents

Birth Certificate *

📄 Upload Birth Certificate

PDF, JPG, PNG · Max 5MB

Questionnaire

1. Have you occupied any Political Position?

Yes No

Most recent position occupied *

Date From *

Date To *

2. Have any close relatives/associates occupied a Political Position?

Yes No

Person I

Name*

Relationship*

Position Held*

Date From*

Date To*

Person II

Name

Relationship

Position Held

Date From

Date To

3. Are there any particular stocks you wish to exclude from your portfolio?

Yes No

Stock i

Stock ii

Stock iii

Stock iv

Stock v

Stock vi

Mandate on Portfolio

I ____________________________ hereby...

Authorize NSL to constantly review and trade in the shares in my portfolio using their best judgement.

- Broker's Discretion

Authorize NSL to review and trade in shares in my portfolio in consultation with me.

- Non-Discretional (Joint Decision)

Direct NSL NOT to review or trade in shares in my portfolio on my behalf.

- Non-Discretional (No Review or Trading)

Please select a portfolio mandate.

Authorization & Attestation

I/We attest that all information provided herein is accurate and would notify NSL to update my/our records where any change occurs. I/We agree to be bound by the Terms & Conditions of Nigerian Stockbrokers Limited.

You must confirm the attestation to proceed.

Name of Account Holder Please enter the account holder name.

Date Please enter a date.

PAYMENT TO NSL

Account details

Account Name	NIGERIAN STOCKBROKERS LIMITED-CLIENTS' ACCOUNT
Account Number	1000012745
Bank	Globus Bank Limited

Initial Amount Deposited (₦) Please enter the joint account holder name.

Step 9 of 9

Final Review

Confirm your application details before submitting.

Application Summary

Please review your information before submitting

Full Name	—
Email Address	—
Account Category	—
Joint Account	—
Investing for Minor	—
Portfolio Mandate	—

✓

Application Submitted!

Thank you for applying with Nigerian Stockbrokers Limited. Your account opening application has been received. Our team will review your documents and contact you within 2-3 business days.

Questions? Contact us at

02012715754 | info@nslng.com

Nigerian Stockbrokers Limited

Personal Information

Account Type

Personal Information

Employment Details (Primary)

Employment & Financial Details

Joint Account Holder (Personal)

Personal Information (Joint)

Employment Details (Joint)

Employment & Financial Details

Investment Information

Purpose & Referrals

Client Bank Details

Bank Account Information

Next of Kin

Next of Kin Details

Minor, Questionnaire & Authorization

Investment on Behalf of a Minor

Questionnaire

Person I

Person II

Mandate on Portfolio

Authorization & Attestation

PAYMENT TO NSL

Final Review

Application Summary

Application Submitted!