NEM INSURANCE PLC ANNUAL REPORT 2020

SHAREHOLDER INFORMATION UPDATE

Dear Sir, TICK AS APPLICABLE
Kindly update my information with the below:
AICO BALANCED FUND
_____________________________________________________________
ANINO INT’L PLC
SURNAME: OTHER NAMES:
ARBICO PLC
____________________________________________________________
CONTACT ADDRESS (ES): CHAPEL HILL DENHAM
_____________________________________________________________ MONEY MARKET FUND

____________________________________________________________ INTERLINKED
EMAIL ADDRESS: TECHNOLOGIES PLC
____________________________________________________________
MOBILE NUMBERS: INTERNATIONAL
BREWERIES PLC
____________________________________________________________ LASACO ASSURANCE
BVN:
______________________________________________________________ PLC
D.O.B: LEAD UNIT TRUST

Shareholder’s signature /Date Joint Shareholder’s signature /Date SCHEME
(if corporate)
MASS TELECOM
Company INNOVATION PLC
seal MUTUAL TRUST
MICROFINANCE BANK LTD
NEM//ARP//20 Kindly return the duly completed form to:
NCR (NIGERIA) PLC

NEM INSURANCE
PLC

PARAMOUNT EQUITY

PHARMA DEKO PLC

THE INITIATES PLC

Email: [email protected] Tel: +234 (1) 2932121 Address: 8 Alhaji Bashorun Street
W: www.apel.com.ng +234 (0) 704 612 6698 Off Norman Williams Crescent,
S.W. Ikoyi Lagos.

SECOND FOLD HERE NEM//ARP//20

Apel Capital Registrars Limited Please Affix
8, Alhaji Bashorun Street Postage Stamp
Off Norman Williams
Crescent South West Ikoyi FIRST FOLD HERE
Lagos

THIRD FOLD HERE

Affix E-DIVIDEND MANDATE ACTIVATION FORM
Current
Passport

(To be stamped by Bankers)

Write your name at the back of
your passport photograph

Instruction Only Clearing Banks are acceptable

Please complete all section of this form to make it eligible for processing TICK NAME OF COMPANY SHAREHOLDER’S
and return to the address below ACCOUNT NO.
AIICO BALANCED FUND
The Registrar,

Apel Capital & Trust Ltd.
8, Alhaji Bashorun Street
Off Norman Williams Str, S.W Ikoyi Lagos.

I\We hereby request that henceforth, all my\our Dividend Payment(s) due to ANINO INT’L PLC
me\us from my\our holdings in all the companies ticked at the right hand
column be credited directly to my \ our bank detailed below:

Bank Verification Number ARBICO PLC

Bank Name Other Names CHAPEL HILL DENHAM
Bank Account Number MONEY MARKET FUND
Account Opening Date
INTERLINKED
Shareholder Account Information TECHNOLOGIES PLC

Surname / Company’s Name First Name INTERNATIONAL BREWERIES
PLC

LASACO ASSURANCE PLC

Address : LEAD UNIT TRUST SCHEME

City State Country MASS TELECOM
INNOVATION PLC
Previous Address (If any) Mobile Telephone 2 MUTUAL TRUST
CHN (If any) MICROFINANCE BANK LTD
Mobile Telephone 1
Email Address NCR (NIGERIA PLC

Signature(s) Company Seal (If applicable) NEM INSURANCE PLC

PARAMOUNT EQUITY

PHARMA DEKO PLC

THE INITIATES PLC

NEM//ARP//20Joint\Company’s Signatories

“This service costs N150.00 per approved mandate per company”

Email: [email protected] Tel : +234 (1) 293 2121 Address : 8, Alhaji Bashorun Street,
+234 (0) 704 612 6698 Off Norman Williams Crescent,
W: www.apel.com.ng S.W. Ikoyi Lagos

SECOND FOLD HERE NEM//ARP//20

Apel Capital Registrars Limited Please Affix
8, Alhaji Bashorun Street Postage Stamp
Off Norman Williams
Crescent South West Ikoyi FIRST FOLD HERE
Lagos

THIRD FOLD HERE