Forms

New Account Opening Form

Access important forms and documents required for account setup, transactions, and stock transfer requests.

Customer Information

Account Number

Account Title

Surname

First Name

Middle Name

Business Occupation

Business / Office Address

Current Residential Address

Date of Birth

Telephone No

Initial Deposit

Purpose and Reason for Opening the Account

Sources of Wealth or Income

Married Maiden Name

Next of Kin / Phone Number

State of Origin, L.G.A

Bank Verification Number (BVN)

Bank Name

Bank Verification Number (BVN)

Bank Account Name

Bank Account No

Direct Cash Settlement (Optional)

Date of Creation of Bank Account

Employee's Name and Address

Are you a Politically Exposed Person (PEPs)?

Tax Identification Number (TIN)

FOR JOINT ACCOUNT

Names of Joint Account Holders (i)

Names of Joint Account Holders (ii)

Contact Address (i)

Contact Address (ii)

Business/Occupation (i)

Business/Occupation (ii)

Names of Joint Account Holders (iii)

Names of Joint Account Holders (iv)

Signature

Date

DECLARATION

I/We apply for the opening of an account with Icon Stockbrokers Limited.

I/We declare that the information given in this application form is accurate and I/We warrant that each information is correct.

I/We agree to be subject to the terms and conditions governing the operation of the accounts(s)

Signature

Date

Witness

Signature Card and Photograph(s)

Name

Address

Telephone Number

Email Address

Name

Address

Telephone Number

Email Address

Passport

Name

Signature

Title

Class

Name

Signature

Title

Class

Name

Signature

Title

Class

Signature Combination

SoleEitherBoth

For Office Use Only

Officer Name

Signature

Date

HCO Name

Signature

Date

Compliance Name

Signature

Date

VC/CBD Name

Signature

Date

Requirement

1. Passport Photograph(s)

2. Means of Identification

3. Utility Bill not older than 3 months

Either of these:

a. Drivers Licence

b. International Passport

c. National Identity Card or Voters Card

BEST EXECUTION AND ORDER HANDLING POLICY

Please refer to our website (www.iconstockbrokersltd.com) for the most detailed document on our best execution and order handling policy.
This document is also available for download.

New Account Opening Form

Customer Information

FOR JOINT ACCOUNT

DECLARATION

Signature Card and Photograph(s)

For Office Use Only

Requirement

Either of these:

BEST EXECUTION AND ORDER HANDLING POLICY

Risk Disclosure