Library / FEDERAL MORTGAGE BANK OF NIGERIA (National Housing Fund Decree 3, 1992) INDIVIDUAL REGISTRATION Please read the form carefully before completing it.
FEDERAL MORTGAGE BANK OF NIGERIA (National Housing Fund Decree 3, 1992) INDIVIDUAL REGISTRATION Please read the form carefully before completing it.
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FEDERAL MORTGAGE BANK OF NIGERIA
(National Housing Fund Decree 3, 1992)
INDIVIDUAL REGISTRATION
A.
Please read the form carefully before completing it.
B.
The completed form should be returned with two (2) passport photos with your name boldly written on the reverse side
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om
oe
C.
Return the completed form to the nearest FMBN office.
Please Affix: Passport
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ie
D.
All field marked * are compulsory.
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EMPLOYMENT STATUS
Please tick where applicable:
(Current)
Employed Full-Time: [|
Employed Part-Time: [|
Self-Employed: [|
*Date of Employment (First Appointment): E
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Employer Name (If Not Self-Employed):
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Employment History
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Employer Name 1:
From: ly
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Employer Name 2:
rent: E
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PERSONAL DETAILS
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*First Name:
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other Names: |_|
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BE ime
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* Address:
Scbade Male:(_ | Female: [
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*Date of Birth: lp E Ina|m|y
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*Staff ID / IPPIS No:
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*Mobile Number:
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“Monthly Salary (Net Pay):
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Paug
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“Marital Status:
Single: [|_|
memicg LL
Estranged: |_|
Widowed: |_|
Divorced:|_|
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NEXT OF KIN INFORMATION
*NOK Surname: |_|
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*NOK Relationship:
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Reseee
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*NOK MobileNumber:!|
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Ss To eenne:
COCCI imp
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*NOK Address:
Applicant Signature and Date
Employer's Signature and Date
Official: Stamp
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