Complete the form to open Esan Micro-finance Bank Current Account
You are to attach your passport photograph and a snapped photo of your signature (Sign twice please)
Account type
Choose account
Personal Data
Title
Surname
Other Names (First & Middle Names)
Date of Birth
Gender
Marital Status
Nationality
State of Origin
LGA of Origin
If you select Others, please specify name of LGA
Home Town
Place of Birth
Religion
Others
Mother's Maiden Name
Spouse Name
Work Place Information
Occupation/Profession
Employer's Name if any
Work Place Address
District
LGA
State
Next of Kin Information
Name
Relationship
Phone Number
Contact Information
Country of Residence
State of Residence
Residential Address
District
Landmark (Type here name of a popular place close to you, Example - Church, school, Bus Stop, etc.)
Email Address
GSM
Home Telephone
Office Number
Other Bank Account Details
Bank Name
Account Number
Bank Verification Number (BVN)
Mode of Identification
Select any one of these
ID Number
Place ID was issued (Eg Ubiaja, Ehor, Owerri, etc.)
Date ID was issued
Expiry Date on ID
Upload Selected ID
Max. size: 1.0 GB
Other Information
Utility bill type
Name on Utility bill
Address on Utility
Date on Utility
Upload Utility Bill
Max. size: 1.0 GB
Personal Information of Signatory/Account Holder
Test Question
Test Answer
Upload files and Complete Referrer Information
Please upload a recent passport photograph
Max. size: 1.0 GB
Please upload two photos of your signature
Max. size: 1.0 GB
Referer
Full Name of reference 1
Occupation
Address
Phone Number
Account Number
Upload Signature of referer 1
Max. size: 1.0 GB
Full Name of reference 2
Occupation
Address
Phone Number
Account Number
Upload Signature of referer 2
Max. size: 1.0 GB