shareholder form + nextkin · nulec industries plc okomu oil palm plc premier paint plc rean plc...
Post on 10-May-2020
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TICK ACCOUNT NO.
Bank Verification Number
Bank Name
Bank Account Number
Shareholder Account Information
Surname / Company’s Name
First Name Other Names
Address :
City State Country
Previous Address (If Any)
StockBroker’s Name
Clearing House Number CHN (If any)
Mobile Telephone 1 Mobile Telephone 2
Email Address
Signature(s) Company Seal (If applicable)
Joint\Company’s Signatories
NAME OF COMPANY
AC0RN PET. PLC
AFRIK PPHARMACEUTICALS PLC
AG HOMES SAVINGS & LOANS
AG LEVENTIS
ARBICO PLC
ASHAKACEM PLC
BANKERS WAREHOUSE
BETA GLASS
CAPITAL HOTEL PLC
ELLAH LAKES
EVANS MED PLC
FCMB BOND
FCMB GROUP PLC
FIDSON BOND
G. CAPPA PLC
GUINEA PLC
IMB ENERGY MASTER FUND
JOS INT. BREWERIES PLC
KOGI SAVINGS & LOAN LTD
LAFARGE AFRICA PLC
LAFARGE BOND
LAW UNION & ROCK PLC
LEGACY FUND
LIVESTOCK FEEDS PLC
MORISON PLC
MRS OIL PLC
NAHCO BOND
NAHCO PLC
NEWPAK PLC
N.G.C PLC
NGC STERILE
NPF MICROFINANCE BANK
NULEC INDUSTRIES PLC
OKOMU OIL PALM PLC
PREMIER PAINT PLC
REAN PLC
SKYE BANK PLC
TOTAL NIG. PLC
TRANEX PLC
WOMEN INVESTMENT FUND
The Registrar,CardinalStone Registrars, Limited358, Herbert Macaulay Way, Yaba,P.M.B 1007, Sabo Yaba, LagosNigeria.
I\We hereby request that henceforth, all my\our Dividend Payment(s) due to me\us from my\our holdings in all the companies ticked at te right hand column be credit directly to my\our bank detailed below
Date of Birth:
Next of Kin Name
Next of Kin Mobile Number
Next of Kin Address (If different from the above address)
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