Application Form : Urban Trend Enterprise

ACCOUNT OPENING FORM / VISA CARD

Personal Details

Full-Name

Date of Birth

Tel No.

Whatsapp No.

Marital Status

Gender

Email Address.

Occupation

Residential Details

Address

Ownership of resident

if "No", state length of time at rented home

Name of next of kin

Relationship

Occupation

Type of employment

Age of business if self employed

Name current employer

Employment Status

Income Details

Net Annual Income

Monthly Income

Other income

Identification

Upload Passport

Type of Identification

Number on Card

Duration of Card

Registration Date

Your current bank name and account number

I, we confirm that the information provided by me is true, correct and complete.
I, we hereby agree that, the information, i have provided above, will be use by the bank to update my banking record from time to time.
I, we inform the bank, time to time if the information provided above changes.