Affix Current Passport (To be stamped by Bankers) SHAREHOLDER’S DATA UPDATE REQUEST FORM Write your name at the back of your passport photograph TICK NAME OF COMPANY ACCOUNT NO. ABC TRANSPORT PLC ACAP CANARY GROWTH FUND The Registrar, AFRICAN DEVELOPMENT BANK BOND First Registrars & Investor Services Ltd. AFRICAN PAINTS PLC 2 , A b e b e V i l l a g e R o a d , I g a n m u ANCHOR FUND P. M. B. 12692 Lagos. Nigeria. ARM AGGRESSIVE GROWTH FUND ARM DISCOVERY FUND ARM ETHICAL FUND Important! The form should be completed in CAPITAL LETTER using a ASO-SAVINGS AND LOANS PLC Black or Dark Blue ballpoint fountain pen. Character and numbers should AUSTIN LAZ AND COMPANY PLC be a similar in the style to the following: BANK PHB PLC (NOW KEYSTONE BANK LIMITED) BAYELSA STATE BOND Shareholder Account Information BCN PLC-MARKETING COMPANY BEDROCK FUND Surname CADBURY NIGERIA PLC CHAMS PLC COSTAIN WEST AFRICA PLC CROSS RIVERS STATE BOND First Name Other Names DAAR COMMUNICATIONS PLC DEAP CAPITAL MANAGEMENT & TRUST PLC DELTA STATE GOVT BOND DV BALANCED FUND Email Address EDO STATE BOND FAMAD NIGERIA PLC FBN FIXED INCOME FUND Mobile Telephone 1 Mobile Telephone 2 FBN HERITAGE FUND FBN HOLDINGS PLC FBN MONEY MARKET FUND Clearing House Number CHN (If any) Date of Birth FIDELITY BANK PLC FIDELITY BOND FIDELTY NIGFUND (INCOME & ACCUMULATED) FORTIS MICROFINANCE BANK PLC FRIESLANDCAMPINA WAMCO NIGERIA PLC Bank Verification Number HALDANE MCCALL REIT HONEYWELL FLOUR MILLS PLC JULI PLC Stockbroker’s Name KAKAWA GUARANTEED INCOME FUND LAGOS STATE BOND SERIES 2 Old Address : LEARN AFRICA PLC NIGERIA POLICE MORTGAGE BANK PLC NIGERIAN BREWERIES PLC OANDO PLC ONDO STATE BOND City State Country OYO STATE BOND PARTNERSHIP INVESTMENT CO.PLC PRESCO PLC PRESTIGE ASSURANCE PLC New Address : PZ-CUSSONS NIGERIA PLC RAK UNITY PETROLEUM PLC REDEEMED GLOBAL MEDIA COMPANY SIM CAPITAL ALLIANCE VALUE FUND STACO INSURANCE PLC STANBIC IBTC BALANCED FUND City State Country STANBIC IBTC BALANCED FUND STANBIC IBTC BANK PLC FLOATING RATE& FIXED RATE SUBORDINATED UNSECURED NOTES Next of Kin Name STANBIC IBTC BOND FUND STANBIC IBTC ETF 30 FUND STANBIC IBTC ETHICAL FUND Next of Kin Mobile Number STANBIC IBTC GUARANTEED INCOME FUND STANBIC IBTC HOLDINGS PLC STANBIC IBTC MONEY MARKET FUND STANBIC IBTC NIGERIAN EQUITY FUND Next of Kin Address (If different from the above address): STANDARD ALLIANCE INSURANCE PLC STARCOMMS PLC UBA FIXED RATE SUBORDINATED UNSECURED NOTES UNION DIAGNOSTIC AND CLINICAL SERVICES PLC UPDC REITS Authorised Signature Joint\Company’s Signatories WEST AFRICAN ALUMINIUM PRODUCTS (WAAP) ZAMFARA STATE BONDS First Registrars & Investor Services Limited ...connecting you to your wealth. website:www.firstregistrarsnigeria.com; E-mail: [email protected].
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