Account Form - Unity1 Account Opening

Kindly Fill the Form Below with your Correct details

Please note that fields marked with * are required and compulsory.

Referral Code(if any)

Title*

Surname*

First Name*

Other Name

Gender* Select a Gender

Date of Birth*(click inside to select date)

State Of Origin*

LGA of Origin*

City/Town of Origin*

State Of Residence*

LGA of Residence*

City/Town of Residence*

Home Address*

Phone Number*

Email Address

Bank Verification Number(BVN)

Preferred Branch Location (State)*

Preferred Branch Domiciliation*

Passport Picture*(picture size must not exceed 300KB)

Signature*(signature size must not exceed 300KB)

Do you want to request for a card on successfull registration? Yes.
Note: BVN is required.
Also note that the cost of an ATM card is N1,075 (One Thousand and Seventy Five Naira Only)

CardType

Preferred Pickup Branch Location (State)

Preferred Branch For Pickup

I've read the Terms & Conditions