BANKING AGENT APPLICATION

    Applicant's Name*

    Applicant's Email*

    Applicant's Phone*

    Date of Birth*

    Residential Address*



     


     

    Highest Qualification Obtained*

    Are you resident in Kaduna state?*

    Your Location in Kaduna State*


     

    Do you have a Registered Company*

    What's the Name of your Registered Company

    Your preferred method of Communication*