Rights Issue Please enable JavaScript in your browser to complete this form.SecuritySterling BankNigerian Breweries PLCCSCS A/c No *CHN No *Participation TypeParticipation TypeFull Acceptance/Request for additional ordinary sharesRenunciation or Partial AcceptanceLayoutNumber of Shares (Full Acceptance) *Number of Shares (Full Acceptance) *Amount payable (N4.00/Share) *Amount payable (N26.50/Share) *LayoutAdditional units appliedAdditional units appliedAdditional amount payable (N4.00/Share) Additional amount payable (N26.50/Share)Layout (copy)Number of Shares AcceptedAdditional amount payable (N4.00/Share)Additional amount payable (N26.50/Share)Number of Shares RenouncedCustomer TypeInidividualJointCorporateInvestor DetailsTitle *MrMrsMissMasterDrProfChief/SirSurnameFirst NameOther NamesLayoutEmail *Phone *Date of BirthResidential Address *LayoutState *Country *Joint Applicant DetailsTitle *MrMrsMissMasterDrProfChief/SirSurnameFirst NameOther NamesOccupation *Mobile Number *Email *BVN *Residential Address *Next Of Kin *Company NameType of BusinessR/C No.AddressEmail *Phone NumberContact Person *Bank Account InformationAccount Name *Account Number *Bank NameBVN *Form Upload (kindly upload files max 3MB in size)Form Upload * Click or drag a file to this area to upload. Evidence of Payment Click or drag a file to this area to upload. PhoneSubmit