2015-12-31

Investor’s Bank Account Update Form for Direct Settlement

This form enables CSCS investors to update their bank account details to facilitate direct settlement of financial transactions. Investors must provide personal or corporate identification, CSCS account and clearing house numbers, and specific bank details including their Bank Verification Number (BVN). Corporate applicants are additionally required to have two authorized signatories, affix passport photographs, and append the company seal.

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Securities and Exchange Commission Nigeria

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INVESTOR’S BANK ACCOUNT UPDATE FORM FOR DIRECT SETTLEMENT CSCS Plc, Stock Exchange House (Floors 1, 12, 13, 14 & 15), 2/4, Customs Street, P.O.BOX 3168, Marina, Lagos State. E-Mail: info@cscsnigeriaplc.com Website: www.cscsnigeriaplc.com Telephone Number: + 234 (1) 9033551 (FORM 001)

ACCOUNT TYPE: PERSONAL [ ] CORPORATE [ ] (Please Tick appropriately)

CLIENT’S DETAILS NAME OF CLIENT (surname first) OR COMPANY’S NAME: …………………………………………………………………………………………………………………………………………… DATE OF BIRTH/CAC NO:………………………………………..……………………………………………………….. MOTHER’S MAIDEN NAME (where applicable)……..………………………………………………………….. ADDRESS…………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………

CSCS ACCOUNT NUMBER | CLEARING HOUSE NUMBER [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] | [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ]

TEL. NUMBER: (1).………………………………………………………….. (2)…………………………………………………………………….. E-MAIL ADDRESS :( 1).………………………………………………………. (2)……………………………………………………………………..

SIGNATURE: (1)…….…………………….…………………………………. (2)……………………………………………………………………. (For Corporate accounts, two authorized signatories must sign with their passports photographs affixed and company’s Seal appended on this form).

CLIENT’S BANK DETAILS (SETTLEMENT BANKS ONLY) BANK NAME:………………………………………………………………………………………………………………………………………………. BANK BRANCH……………………………………………………………………………………………………………………….…………………… ACCOUNT NUMBER: [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] | BANK VERIFICATION NUMBER (BVN): [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] TYPE OF ACCOUNT (Please tick the type of account) Current [ ] Savings [ ]

STOCKBROKING FIRM DETAILS. MEMBER CODE: [ ] [ ] [ ] [ ] STOCKBROKING FIRM:………………………………………………………………………………………………………………………………….

AUTHORISED SIGNATORIES & COMPANY’S STAMP (1).………………………….……………………………………….………….. (2)………………………………………………………………………………..