AAM ONBOARDING FORM
Onboarding Portal
Login
Referral Code:
*
Agency Manager Username:
*
Date of Birth:
*
Agents must be at least 18 years old.
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* Compulsory fields
BIO DATA
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Title:
*
Select Title
Mr.
Ms
Mrs
Miss
First Name:
*
Middle Name:
Last Name:
*
Gender:
*
Select Gender
Male
Female
Email:
*
Date of Birth:
*
Mobile Number:
*
Nationality:
*
Passport Photograph:
*
Residential Address:
*
FAMILY & EMERGENCY DETAILS
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Marital Status:
*
Select Marital Status
Single
Married
Spouse Name:
*
Spouse Phone Number:
*
Spouse Employer:
*
Do you want to use spouse details as emergency contact details?
*
Emergency Contact Name:
*
Emergency Contact Phone Number:
*
Emergency Contact Relationship:
*
Emergency Contact Address:
*
GUARANTOR'S DETAILS
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Title:
*
Select Title
Mr.
Ms
Mrs
Miss
Guarantor's Name:
*
Guarantor's Employer:
*
Guarantor's Phone Number:
*
Guarantor's Nature of Work:
*
Guarantor's Business/Office Address:
*
Guarantor's Email:
Upload Attestation Form:
*
Upload Guarantor's ID:
*
Guarantor's Address:
EMPLOYMENT DETAILS
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Employment Status:
*
Select Employment Status
Unemployed
Employed
Years of Work Experience in years:
*
Years with Current Employer in years:
*
ACCOUNT DETAILS
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BVN:
Bank Name:
*
Account Number:
*
Account Name:
*
SUBMIT