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    Bank Verification Number Enrolment Form: Please Provide The Necessary Information (Fields Marked With Are Compulsory)

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    Sandra Allen
    This document is a bank verification number enrolment form that collects personal information such as name, identification numbers, contact details, and biometric data from customers. It includes fields for name, ID numbers, contact details, address, and biometric data consent. It also has agreement clauses for biometric data storage and usage, and a disclaimer for potential data breaches if required to disclose to third parties by law.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Bank Verification Number Enrolment Form: Please Provide The Necessary Information (Fields Marked With Are Compulsory)

    Uploaded by

    Sandra Allen
    2K views2 pages
    This document is a bank verification number enrolment form that collects personal information such as name, identification numbers, contact details, and biometric data from customers. It includes fields for name, ID numbers, contact details, address, and biometric data consent. It also has agreement clauses for biometric data storage and usage, and a disclaimer for potential data breaches if required to disclose to third parties by law.

    Original Title

    bvn_enrolment_form

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    This document is a bank verification number enrolment form that collects personal information such as name, identification numbers, contact details, and biometric data from customers. It includes fields for name, ID numbers, contact details, address, and biometric data consent. It also has agreement clauses for biometric data storage and usage, and a disclaimer for potential data breaches if required to disclose to third parties by law.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views2 pages

    Bank Verification Number Enrolment Form: Please Provide The Necessary Information (Fields Marked With Are Compulsory)

    Uploaded by

    Sandra Allen
    This document is a bank verification number enrolment form that collects personal information such as name, identification numbers, contact details, and biometric data from customers. It includes fields for name, ID numbers, contact details, address, and biometric data consent. It also has agreement clauses for biometric data storage and usage, and a disclaimer for potential data breaches if required to disclose to third parties by law.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    BANK VERIFICATION NUMBER ENROLMENT FORM

    Please provide the necessary information (Fields marked with * are compulsory)

    NAME*:
    SURNAME FIRST NAME MIDDLE NAME

    CUSTOMER ID:

    NATIONAL IDENTITY NO (NIN):

    TITLE*:

    MARITAL STATUS*: SINGLE MARRIED WIDOW

    WIDOWER DIVORCED SEPARATED

    GENDER*: MALE FEMALE

    DATE OF BIRTH (DD/MM/YYYY)*:

    NATIONALITY*:

    STATE OF ORIGIN*:

    LGA OF ORIGIN *:

    RESIDENTIAL ADDRESS*:

    LGA OF RESIDENCE*:

    STATE OF RESIDENCE*:

    LANDMARKS:
    PHONE NUMBER 1: PHONE NUMBER 2:

    E-MAIL ADDRESS:

    LOCATION OF COLLECTION:

    SPECIAL NEEDS: YES NO

    IF YES PLEASE EXPLAIN:

    I hereby attest the above information is true and complete.

    BANK ONLY

    SIGNATURE / DATE VERIFIED BY:

    ENROLMENT TICKET ID

    Agreement Clauses

    -I agree to submit my Biometric information to the bank or its agent as may be required for account opening, maintenance and operation purposes, to
    enhance the security of my account and transactions from time to time.

    - I give permission for the bank to securely store and transmit this Biometric data for the purposes of operating my bank account.

    - I understand that a Biometric is a unique physiological data such as fingerprints, iris and hand scans or face and voice recognition, used to positively
    identify a particular person

    Disclaimer Clause

    The bank shall not be liable for breaches/disclosures that may occur if it is compelled by law or regulation to disclose customer biometrics data to third
    parties. However, the Bank shall exercise due care to ensure that the customers biometrics data is secure and protected

    Page 2

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