Onboarding Form - Wellzino

Agent Banking Onboarding

Please follow the format and Instructions Given Here to Avoid Delay in Your Profiling and Mapping

Surname(Required)

First Name(Required)

Middle Name(Required)

Date of Birth(Required)

Gender(Required)

Male

Female

Email(Required)

Phone Number(Required)

2nd Phone Number

Address(Required)

Street Address Address Line 2 City State / Province / Region

Business Name(Required)

BVN(Required)

Other ID Number

NIN(Required)

Needed for any government related business for proper idenfication.

State of Origin(Required)

LGA(Required)

Next of Kin Full Name(Required)

Relationship wth Next of Kin(Required)

Next of Kin Phone Number(Required)

Next of Kin Address(Required)

Send a soft copy of the following to our WhatsApp line (+2349016491821) or simply upload them using the buttons below.

a. Utility bill

Max. file size: 5 MB.

b. Photo of owner in front of shop

Max. file size: 5 MB.

c. NIN slip

Max. file size: 5 MB.

d. Passport photograph

Max. file size: 5 MB.

e. Other means of identification (Voters Card, Driving License or International Passport)

Max. file size: 5 MB.

This field is for validation purposes and should be left unchanged.