OKOMFO ANOKYE RURAL BANK PLC
SHARES PURCHASE FORMS
PERSONAL DETAILS
First Name
*
Last Name
*
Date Of Birth
*
Place Of Birth
*
Nationality
Choose...
Ghanaian
Foreigner
Country/Province :
*
Permit Issue Date :
Permit Expiry Date
Resident Permit No:
Region
Choose...
Ashanti
Accra
Eastern
Volta
Northen
Central
Upper East
Upper Wast
Western
Oti
Brong Ahafo
Ahafo
Bono East
Savannah
Cape Coast
Bono
North East
Western North
Marital Status
Choose...
Single
Married
widow
widower
Sex
Choose...
Male
Female
Home Address (Location)
*
Postal Address
*
Occupation
*
Email
Ghana Card Identification No.
*
Contact Phone Number
*
Bank Account Nunmber for Transaction Purposes :
*
Key Contact Person :
*
Key Contact Phone Number
TRANSACTION DETAILS
Number Of Shares Purchased
*
Amount (In Figures) GHS
Amount (In Words)
*
Mode Of Payment (Tick what is Applicable)
Cheque
Cash
Standing Order
Divident
Debit My Account Number
*
Are you existing shareholder?
*
In what name did you purchase your existing shares ?
Signature Upload
Date
Submit & Print
Archived | Applications | OARB KYC
