Transcription of MANDATE FOR E-DIVIDEND PAYMENT
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Date (DD/MM/YYYY) The Registrar United Securities Limited 10, Amodu Ojikutu Street, Victoria Island, Lagos Dear Sir/Madam Kindly find below my /our bank details for the purpose of electronic payments of dividends due to me / us. 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 hereunder. Surname /Company Name: Other Names (for individual Shareholder) Present Postal Address City State E-Mail Address 1:- E-Mail Address 2:- Mobile (GSM) Phone Number Bank Name (SECTION TO BE COMPLET)
Date (DD/MM/YYYY) The Registrar United Securities Limited 10, Amodu Ojikutu Street, Victoria Island, Lagos Dear Sir/Madam Kindly find below my /our bank details for the purpose of electronic payments of dividends due to me / us.
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