Loan Restructure Form

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CSD Account Request

Personal Information

Choose type of CSD Account (Individual or Business)

Upload your passport photo*

First Name*

Middle Name

Last Name*

Gender*

Country

Date of Birth*

Place of birth*

Nationality*

Citizenship*

National ID/Driver's License*

Passport Number

Personal Information

Tax Identification Number

Tax Exemption Status

Email Address*

Phone Number (+256...)*

Postal Address

Occupation*

Mother's Maiden Name*

Work Address

CSD Account Signatories

Signatory 1 Details

One Time PIN (OTP) Request
Click to get One Time PIN (OTP)

One Time PIN (OTP)
Check your phone for the OTP code*

OTP must be 5 digitsYour OTP is valid, please proceed

Do you want signatory number 2 for your CSD account?

OTP must be 5 digitsYour OTP is valid, please proceed

Confirm Details

Full Name:

Gender:

Country:

Date of Birth:

Place of Birth:

Nationality:

Citizenship:

National ID:

Passport:

TIN:

Tax Exemption:

Email:

Phone:

Postal Address:

Occupation:

Mother's Maiden Name:

Settlement Bank:

Account Number:

Signatory 1 Name:

Signatory 1 Phone:

Signatory 2 Name:

Signatory 2 Phone:

Signatory 2 Email:

Signatory 3 Name:

Signatory 3 Phone:

Signatory 3 Email:

Submit Details

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