Credit Card Application

Application Form

"*" indicates required fields

Name to appear on Card*

Branch of Delivery*

Please specify the branch in Abuja*

Please specify the branch in Abia*

Please specify the branch in Adamawa*

Please specify the branch in Akwa Ibom*

Please specify the branch in Anambra*

Please specify the branch in Bauchi*

Please specify the branch in Bayelsa*

Please specify the branch in Benue*

Please specify the branch in Borno*

Please specify the branch in Cross River*

Please specify the branch in Delta*

Please specify the branch in Ebonyi*

Please specify the branch in Edo*

Please specify the branch in Ekiti*

Please specify the branch in Enugu*

Please specify the branch in Gombe*

Please specify the branch in Imo*

Please specify the branch in Jigawa*

Please specify the branch in Kaduna*

Please specify the branch in Kano*

Please specify the branch in Katsina*

Please specify the branch in Kebbi*

Please specify the branch in Kogi*

Please specify the branch in Kwara*

Please specify the branch in Lagos*

Please specify the branch in Niger*

Please specify the branch in Ogun*

Please specify the branch in Ondo*

Please specify the branch in Osun*

Please specify the branch in Oyo*

Please specify the branch in Plateau*

Please specify the branch in Rivers*

Please specify the branch in Sokoto*

Please specify the branch in Taraba*

Please specify the branch in Yobe*

Please specify the branch in Zamfara*

Nationality*

Employment Status*

Place of Birth*

Mother's Maiden Name*

Occupation*

Employer/Business Name*

Current Account Number*

Limit Requested*

Office Address*

Phone Number*

Email Address*

Kindly Upload the following Documents

Employee Identity card
3 Recent Payslips
Letter from Employer stating irrevocable domiciliation of Salary and Benefits showing current Annual salary and length of service with the Organization

Employed Status Documents Upload*

Drop files here or

Accepted file types: jpg, png, jpeg, pdf, doc, docx, Max. file size: 15 MB, Max. files: 3.

Kindly Upload a Valid ID (NIN Slip, National ID, Permanent Voter's Card, Int'l Passport)

Self Employed Document Upload*

Drop files here or

Accepted file types: jpg, png, jpeg, pdf, doc, docx, Max. file size: 5 MB, Max. files: 1.

This field is for validation purposes and should be left unchanged.

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