PROPRIETOR'S Information

• Surname:

• First name:

• Other name:

• Date of birth:

• Gender:

• Phone number :

• Personal email address

PROPRIETOR'S HOME ADDRESS

• State:

• LGA:

• House Number:

• Address: 

BUSINESS ADDRESS

• State:

• LGA:

• House Number:

• Address: 

• Company email

Nature of Business

Proposed Business Name 1:

Proposed Business Name 2:

SUPPORTING DOCUMENTS 

(Send via WhatsApp on 08084712611)

• ID Card e.g National ID,  (snap and send)

• Signature (snap and send)

• Passport photograph(snap and send)