KYC Form

A. Vehicle Owner Details

Payment Reference *

National ID Number (NIN) Verification

Owner's Name *

Owner's Gender *

State *

L.G.A. *

Owner's Address *

Mobile Phone No. *

Owner's Email (optional)

Passport Photo (JPG format only) *

Maximum file size: 5MB

B. Vehicle's Data

Starting Year *

Number Plate *

Tricycle's Registration LGA *

Chassis Number

C. Vehicle Operator Details (Optional)

First Name

Surname

Middle Name

Gender

Date of Birth

State

L.G.A.

Address

Mobile Phone No.

Email (optional)

Passport Photo (JPG format only)

Maximum file size: 5MB

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

Please verify your payment reference before proceeding.