REFERENCE FORM REFERENCE FORM
The Manager CONFIDENTIAL The Manager CONFIDENTIAL
FBNQuest Merchant Bank Limited FBNQuest Merchant Bank Limited
16 Keffi Street, Off Awolowo Road 16 Keffi Street, Off Awolowo Road
DATE DATE
S.W. Ikoyi, Lagos, Nigeria S.W. Ikoyi, Lagos, Nigeria
Dear Sir, Dear Sir,
Name(s) of Prospective New Customer(s) Name(s) of Prospective New Customer(s)
I/We understand that the above named person(s) has/have applied to open an Investment Account with you. I/We understand that the above named person(s) has/have applied to open an Investment Account with you.
I/We have known the above named applicant(s) for I/We have known the above named applicant(s) for
and I/We comment on its reputation of the applicant(s) and I/We comment on its reputation of the applicant(s)
CAUTION! IT IS DANGEROUS TO INTRODUCE A PERSON WHO IS NOT WELL-KNOWN TO YOU CAUTION! IT IS DANGEROUS TO INTRODUCE A PERSON WHO IS NOT WELL-KNOWN TO YOU
I/We also confirm that the applicant is a person / are persons to whom the usual banking facilities may be I/We also confirm that the applicant is a person / are persons to whom the usual banking facilities may be
extended. I/We maintain current account(s) with extended. I/We maintain current account(s) with
Referee’s Name Referee’s Name
Name of Bank/Branch Name of Bank/Branch
and the account number(s) is/are and the account number(s) is/are
I/We authorise you to contact the above named bankers for the purpose of verifying my/our standing and the I/We authorise you to contact the above named bankers for the purpose of verifying my/our standing and the
status of our account with my/our status of our account with my/our
Yours faithfully, Name (in block letters) Yours faithfully, Name (in block letters)
An FBN Holdings Company An FBN Holdings Company 1