DORMANT ACCOUNT REACTIVATION FORM

Account No:*
Account Name:
Prefix First Last
Reason for dormancy:*
- Proximity
- Out of town
- Dissatisfaction with services
- Others
Customer Information Update
Residential Address*
Mobile Telephone No:*
Home Telephone No:
Email Address*
Mother's maiden name:*
Valid Identification:*
Upload Valid Identification*
Utility bill:*
Upload Utility Bill*
Upload Signature*
Accepted file types: jpg, jpeg, png, gif.
Please upload your signature in any of the mentioned format (.jpg, jpeg, png, gif). Size must not be greater than 2MB.
Brent Mortgage Bank Sterling Bank 0002936238
My account has been inactive for months. I wish to resume transaction of business through my account with you. Kindly therefore re-activate my account. I understand that I am required to effect either a deposit or a withdrawal as part of the account re-activation process. I also confirm the above information is correct.*
- I accept the terms and conditions and the inclusive payment of ₦500

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