Page 359 - ACCESS BANK ANNUAL REPORTS_eBook

SHAREHOLDER`S INFORMATION UPDATE FORM

Date (DD/MM/YYYY)                                

I/We wish to request that my/our details as (a) Shareholder(s) of Access Bank Plc be amended to reflect the following information:

Surname /Company Name:

Other Names (for individual Shareholder)

Present Postal Address

Previous Postal Address

E-Mail Address: -

Mobile (GSM) Phone Number

GENDER (MALE/FEMALE)

BVN

I/We confirm that all information supplied is to the best of my/our knowledge correct and hereby indemnify United Securities Limited against any
loss that may arise from their adoption of the details as supplied.

Shareholder`s signature or Thumbprint Shareholder`s signature or Thumbprint AUTHORISED SIGNATURE & STAMP OF BANKERS

Company Seal/ Incorporation number (Corporate Shareholder)

Kindly return the duly completed form to the Registrar;
United Securities Limited RC 126257
9, Amodu Ojikutu Street, Off Bishop Oluwole Street Victoria Island, P.M.B 12753 Lagos, Nigeria.
Website: www.unitedsecuritieslimited.com ; E-mail: info@unitedsecuritieslimited.com or the completed update form can also be submitted
through any Access Bank Plc nearest to you.

“UNITED SECURITIES LIMITED hereby disclaims liability or responsibility for errors/omissions/misstatements in any document transmitted electronically”