Network Capital Limited — Account Reactivation

Network Capital Limited

SEC Regulated · NGX Trading Licence Holder · 13 Maitama Sule Street, Ikoyi, Lagos · 0706 200 2333

SECNGX CSCSNASD

Account Reactivation

Request to reactivate a dormant or suspended brokerage account with Network Capital Limited

Client Identification

Full Name / Company Name*

Full name is required.

CSCS Account Number*

Enter a valid CSCS account number.

CHN / Clearing House Number

Enter a valid CHN, or leave blank if unavailable.

Telephone Number*

Enter a valid 11-digit Nigerian number.

Email Address*

Enter a valid email address.

Request Date*

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Reactivation Details

This form requests reactivation of a dormant or suspended brokerage account. All fields marked * are required.

Account Type*

Date of Last Transaction — approximate

Reason for Dormancy / Account Suspension*

Additional Remarks — optional

Authorisation

Client Full Name*

Signatory name is required.

Signature Date*

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Sign here using mouse or finger

A signature is required — sign above or upload a specimen.

Declaration and Privacy Policy

Declaration

I/We confirm that the information supplied in this form is true, complete, and authorised by the account holder(s). I/We authorise Network Capital Limited to verify and process this request in line with applicable SEC, NGX, CSCS, AML/CFT, and data protection requirements.

Privacy notice: Network Capital Limited will process information supplied for client account maintenance, regulatory compliance, transaction processing, dispute resolution, and record keeping. Personal data should only be submitted by the account holder or an authorised representative.

I acknowledge that I have read and understood the NETCAP Privacy Policy applicable to this instruction.

You must acknowledge the Privacy Policy.

You must read and accept the declaration.

For Official Use Only — Not to Be Completed by the Applicant

Received By

Date Received

Reviewed By

Approved By / Authorised Signatory

Remarks / Action Taken

Relationship OfficerSignature & Date

Compliance OfficerSignature & Date

Authorised OfficerSignature & Date