SCUML Registration Form

SCUML Registration – Client Intake Form

This form is designed to collect the necessary information for your SCUML registration facilitation service.

CATEGORY:

Select the broad category that best describes your business or organization.

SECTOR:

Choose the option that best represents your main business activity. If you operate across multiple areas, pick your primary income line for SCUML.

SECTOR:

Choose the option that best represents your main business activity. If you operate across multiple areas, pick your primary income line for SCUML.

CAC REGISTRATION TYPE:

Specify how your business or organization is registered with the Corporate Affairs Commission (CAC).

CAC REGISTRATION TYPE:

Specify how your business or organization is registered with the Corporate Affairs Commission (CAC).

MAIN BUSINESS OBJECTIVES:

CAC INCORPORATION/REGISTRATION NUMBER:

Enter your Corporate Affairs Commission (CAC) registration number (e.g., RC123456 or BN123456).

INCORPORATED/REGISTERED NAME:

Enter the full legal name of your incorporated or registered entity as it appears on your CAC certificate.

DATE INCORPORATED/REGISTERED:

Provide the exact date your entity was incorporated or registered with CAC.

TAX ID NUMBER (TIN):

Enter your Tax Identification Number (TIN) as issued by the Federal Inland Revenue Service (FIRS).

HEAD OFFICE ADDRESS:

Address Line 1

Address Line 2

City

State

BANK NAME:

Enter the name of your organization's primary bank.

ACCOUNT NUMBER:

Enter your organization's bank account number.

ACCOUNT NAME:

Enter the full name of your organization's bank account.

ORGANIZATION'S PHONE:

Enter the primary contact mobile number for your organization.

ORGANIZATION'S EMAIL:

Enter the official email address for your organization.

Organization's Contact Person Details

FULL NAME:

Enter the full name of the primary contact person for this registration.

NATIONAL IDENTITY NUMBER (NIN):

Enter the National Identity Number (NIN) of the contact person.

ADDRESS:

Enter the residential address of the contact person.

EMAIL:

Enter the email address of the contact person.

MOBILE:

Enter the mobile number of the contact person.

Beneficial Ownership (Persons with Significant Control - PSC)

Please provide details for all individuals or entities that hold more than 25% of the company’s shares or voting rights, or otherwise exert significant influence.

BENEFICIARY 1

First Name

Middle Name

Last Name

DESIGNATION:

D.O.B:

NATIONAL IDENTITY NUMBER (NIN):

GENDER:

MOBILE:

ADDRESS:

EMAIL:

BVN:

PERCENTAGE OF SHARES OR INTRESTS IN THE COMPANY (DIRECT):

PERCENTAGE OF SHARES OR INTRESTS IN THE COMPANY (INDIRECT)

ADD BENEFICIARY 2

Director(s) Details

Please provide details for each Director

DIRECTOR 1

First Name

Middle Name

Last Name

DESIGNATION:

D.O.B:

NATIONAL IDENTITY NUMBER (NIN):

GENDER:

MOBILE:

ADDRESS:

EMAIL:

BVN:

ADD DIRECTOR 2

Document Uploads

Certificate of Incorporation/Registration:

UPLOAD CERTIFICATE

CAC Status Report:

UPLOAD STATUS REPORT

Constitution OR Memorandum & Article of Association (MEMART) OR Agreement:

UPLOAD DOCUMENT

Evidence of Tax Registration (TIN Print out):

UPLOAD DOCUMENT

Evidence of Registration with Association of Motor Dealers of Nigeria (AMDON):

UPLOAD CERTIFICATE

Registration with Hotel Owners Forum Abuja (HOFA) or State Association, OR Nigeria Tourism Development Corporation (NTDC) Registration:

UPLOAD DOCUMENT

License from State Lotteries Board:

UPLOAD DOCUMENT

Professional Certificate with ICAN or ANAN or ACCA or CITN (for Tax Consultants):

UPLOAD DOCUMENT

Nigerian Institution of Estate Surveyors and Valuers (NIESVs) or Nigeria Institute of Quantity Surveyors (NIQS) Certificate:

UPLOAD DOCUMENT

Relevant Consulting Certificate:

UPLOAD DOCUMENT

Evidence of Registration with COUNCIL FOR THE REGULATION OF FREIGHT FORWARDING IN NIGERIA (CRFFN):

UPLOAD DOCUMENT

Call to Bar Certificate or Legal Practicing Certificates:

UPLOAD DOCUMENT

Exploration License/Permit (Ministry of Solid Minerals)

UPLOAD DOCUMENT

License from a Certified Geologist:

UPLOAD DOCUMENT

For Exporting: Nigerian Export Promotion Council (NEPC) Registration:

UPLOAD DOCUMENT

For Importing: Nigerian Investment Promotion Commission (NIPC) Registration:

UPLOAD DOCUMENT

SCUML Registration – Client Intake Form

Organization's Contact Person Details

Beneficial Ownership (Persons with Significant Control - PSC)

Director(s) Details

Document Uploads

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