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E Dividend Mandate Management System Form

The document is an E-Dividend Mandate Management System form for FBN Holdings Plc, requiring shareholders to provide their bank details for direct credit of dividend payments. It includes fields for personal information, bank verification number, and account details. Shareholders must complete all compulsory fields and return the form to the designated registrar in Lagos, Nigeria.

Uploaded by

Bodam Gwani
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120 views1 page

E Dividend Mandate Management System Form

The document is an E-Dividend Mandate Management System form for FBN Holdings Plc, requiring shareholders to provide their bank details for direct credit of dividend payments. It includes fields for personal information, bank verification number, and account details. Shareholders must complete all compulsory fields and return the form to the designated registrar in Lagos, Nigeria.

Uploaded by

Bodam Gwani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FBNHOLDINGS STRATEGIC REPORT CORPORATE GOVERNANCE RISK FINANCIAL SHAREHOLDER

AT A GLANCE RESPONSIBILITY STATEMENTS INFORMATION


AND SUSTAINABILITY OVERVIEW

F rst E-DIVIDEND MANDATE


MANAGEMENT SYSTEM (E-DMMS)
F O R M
INSTRUCTION
Please fill out all compulsory(*) fields and complete all sections of this form to make it eligible for
processing and return to the address below.
Affix Current
The RegistrarS, Passport Here
First Registrars & Investor Services Ltd.
2 Abebe Village Road, Iganmu, (To be stamped by Bankers)

PMB 12692 Lagos, Nigeria.


Write your name at the back
of your passport photograph
I/We hereby request that henceforth, all my/our dividend payment(s) due to me/us from my/our holdings in
FBN Holdings Plc be credited directly to my/our bank detailed below:

Bank verification number (BVN) |


Bank name |
Bank branch |
Bank address |

Bank account number |


Account opening date |

Account type (Tick) Current Savings

S h a r e h ol d e r Account I nfor m ation

|
Surname* First name* | Other names |
Address |

|
City State | Country |
Previous address (If any) |
|
CHN (If any) Email address |
|
Mobile number 1* Mobile number 2* |

Signature(s)* Joint\Company’s signatories* Company’s seal*

Authorised signature of banker Authorised stamp of banker

First Registrars & Investor Services Ltd


...connecting you to your wealth
FBN HOLDINGS PLC 2020 Annual Report
Website:and Accounts
www.firstregistrarsnigeria.com | Email: [email protected] 157

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