Meristem Dollar Fund Please enable JavaScript in your browser to complete this form.How did you hear about us *Choice 4Referral/Word of mouthGoogle SearchTwitterInstagramFacebookStaff PresentationReferred By *Staff Name *Existing Client *Choice 1YesNoAmount you want to invest *Minimum investment of 50 units at an initial price of $10 Price is subject to changeMeristem strictly prohibits payment of CASH by existing and prospective clients to any representative of the Company, for any reason whatsoever. All payments to the Company shall be by way of cheques or bank drafts issued in the name of the Fund or by direct bank transfers or cash payments to the Company's designated Bank Accounts. The Company shall not be liable for any direct or indirect loss or damage which may arise from failure of the client to adhere to this directive. If you do not receive any investment notification 48 hours after making payment for your investment, please contact our representatives via [email protected]Customer InformationTitle *MrMrsMissMasterDrProfChief/SirSurnameFirst NameOther NamesEmail *Phone *Joint ApplicationsJoint ApplicantsNoYesTitle_2 *MrMrsMissMasterDrProfChief/SirSurname_2First Name_2Other Names_2 IF APPLICANT IS A MINOR, PLEASE WRITE NAME OF SPONSOR BELOWIs Applicant a Minor?NoYesTitle *MrMrsMissMasterDrProfChief/SirSurnameFirst NameOther NamesResidential Address *State *Country *Mobile Number *Email *Date of Birth *Occupation *Mother's Maiden Name *Type Of ID *International PassportDriver's License issued by the Federal Road Safety Commission (FRSC)Inland Revenue Tax Clearance CertificateNational Identity CardPermanent Voter's Registration card issued by the Independent National Electoral Commission (INEC)ID Number *Issue Date *Expiry Date *Next Of Kin *Next of Kin's AddressNext of Kin's Phone No *Next of Kin's Email *Relationship *Preferred Mode of Communication *EmailTelephoneBank Account InformationAccount Name *Account Number *Bank NameBVN *Interest/Dividend Re-InvestmentYesNo Dividends/Redemption payments will only be made to the bank account details stated above.NationalityNigerianNon-NigerianIf not Nigerian, please state Nationality If you have residence in a jurisdiction other than Nigeria, please state the jurisdictionIf you are a US citizen or US tax resident, please provide your US Tax Identification NumberKYC Documents (kindly upload files max 1MB in size)Passport * Click or drag a file to this area to upload. Utility Bill Click or drag a file to this area to upload. Form of Identification * Click or drag a file to this area to upload. Unit Holder's Signature Click or drag a file to this area to upload. Passport_2 * Click or drag a file to this area to upload. Utility Bill_2 * Click or drag a file to this area to upload. Form of Identification_2 * Click or drag a file to this area to upload. Unit Holder's Signature_2 Click or drag a file to this area to upload. MessageSubmit