EMPOWERMENT FORM Unique IDPASSPORT PHOTOGRAPH(Required) Drop files here or Select files Max. file size: 2 GB. PASSPORT PHOTOGRAPH (50px by 50px)FIRST NAME(Required)MIDDLE NAMESURNAME(Required)NIN(Required)NIN NUMBERPHONE NUMBER(Required)ALTERNATE NUMBERDate of Birth MM slash DD slash YYYY SEXMALEFEMALEALTERNATE NUMBERADDRESS:LGA OF ORIGIN(Required)ADOAGATUAPAOBIOGBADIBOOJUOHIMINIOKPOKWUOTUKPOWARD(Required)AKPOGE/OGBILOLOAPAEKILEIGUMALE IIGUMALE IIIJIGBANOGEGEROYONGOUKWONYOULAYIAGATU WARD(Required)EGBAENUNGBAOBAGAJIODUGBEHOOGBAULUOGWULE OGBAULUOGWULE-KADUNAOKOKOLOOSHIGBUDUUSHAAPA WARDS(Required)AKPETE/OJANTELLEAUKEEDIKWU IEDIKWU IIIGAH-OKPAYAIGOROIKOBIOBAOFOKEOIJIUGBOKPOOBI WARDS(Required)ADIKOADUM WESTIKWOKWUIRABIITOGOOBARIKEOBEKOODIAPAOGOREOKPOKWUOKWUTUNGBEORIHIOGBADIGO WARD(Required)AI-OODO IAI-OODO IIAI-OONO IAI-OONO IAI-OONO IIIEHAJE IEHAJE IIITABONO IITABONO IIOLACHAGBAHAOROKAM IOROKAM IIOROKAM IIIOJU WARDS(Required)ADOKPAAINUIBILLAIDELLEIYECHEOBORU/OYEOJUOKPOKPOOKWUDUOWOUKPA/AINU ETTEOHIMINI WARDS(Required)AGADAGBAAWUME EHAJEAWUME ICHOEHATOKPEIDEKPAOCHOBOOCHOBOOGLEWU ICHOONYAGEDE ICHO (OGOLI)ONYAGEDE-EHAJE (ALLE)OKPOKWU WARDS(Required)AMEJOEKEICHAMA IIOJIGOOJOGAOKONOBOOKPAILE/INGLEOKPOGA CENTRALOKPOGA NORTHOKPOGA SOUTHOKPOGA WESTUGBOKOLOOTUKPO WARDS(Required)ADOKA-HAJEADOKA-ICHOALLANENTEKPAEWULOOKETEOTOBIOTUKPO TOWN CENTRALOTUKPO TOWN EASTOTUKPO TOWN WESTUGBOJU-EHAJEUGBOJU-ICHOUGBOJU-OTAHEBUSINESS NAME(Required)CATEGORY OF BUSINESS(Required)AGRICULTURETRADINGTailoring shopsBarbershopsSALONSPoultry farmsPOSRoadSide Food stallsMobile/laptop repairsBoutiqueotherBUSINESS REGISTRATION NUMBEROWNERSHIP(Required)sole proprietorshipspartnershipslimited liabilityDate of Start of Business(Required) MM slash DD slash YYYY BUSINESS ADDRESSMOVITATION FOR STARTING THE BUSINESSDESCRIPTION OF BUSINESS ACTIVITY :(Required)REASON YOU NEED EMPOWERMENTANNUAL TURNOVERPICTURE OF YOU IN BUSINESS LOCATION Drop files here or Select files Max. file size: 2 GB. STAFF PAYROLL Drop files here or Select files Max. file size: 2 GB. BVN(Required)BANK NAME(Required)BANK ACCOUNT NUMBER(Required)