Sign Up - Guaranty Trust Pension Managers

Retirement Savings Account Form

Please fill all fields

Title *

Gender *

Surname *

First Name *

Middle Name

Marital Status *

National Identity Number (NIN) *

Nationality *

Bank Verification Number (BVN)

International Passport Number (Non-Nigerians only)

Date of Birth *

Place of Birth (City/Village) *

State of Origin (Nigerians only) *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only)

Local Government Area (Nigerians Only) *

Residential Address *

Home Number/Name *

Street Name

City/Village/Town

State *

Local Government Area (Nigerians Only) *

Local Government Area (Nigerians Only)

Local Government Area (Nigerians Only) *

Phone Number *

Personal Email Address *

Please indicate how you would like to receive your quaterly RSA Statement

EMPLOYMENT RECORD

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Sector Classification

Employee under IPPIS?

Date Employee Joined IPPIS

IPPIS No.

Employer Name (e.g National Pension Commission NOT PenCom) *

Employer Name should be in full.

Employer Current Business Location/Address *

Building Address *

Village/Town/City *

State Code

Country Code

ZIP Code

P.O Box or PMB (if any)

Phone Number

Employer Email Address *

Nature of Business (Informal Sector Only)

Employee ID Number

Service ID Number

Date of Current Appointment

Date of First Appointment

Date of Employment *

State of Posting *

NEXT OF KIN DATA (NOK)

Fill in CAPITAL LETTERS

Title *

Gender *

Surname *

First Name *

Middle Name

Relationship *

Correspondence Address

Home Number/Name *

City/Village/Town *

State

Street Name *

Local Government Area

State *

State Code *

Country Code

Personal Email Address

Phone Number *

Declaration/Consent *

Date of Declaration/Consent *

Passport Photograph *