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Client Update
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2025-04-04T16:55:21+01:00
Dear Valued Client,As part of our
periodic records update
, we kindly request you to provide or confirm your details to ensure seamless service delivery. Kindly complete this form with accurate information.We are committed to protecting your personal information. All details provided in this form will be handled with the highest level of confidentiality and in accordance with our data protection laws.
Full Name
*
First
Middle
Last
Policy Number
*
TIN Number
ID Type
*
NIN
Driver's License
International Passport
Voter's Card
Others (If not resident in Nigeria)
Other ID Type
ID Number
*
Upload ID
*
Country of Residence
*
Please select
Nigeria
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Nationality
*
Please select
Nigerian
Afghan
Albanian
Algerian
American Samoan
Andorran
Angolan
Anguillan
Antarctic
Antiguan and Barbudan
Argentine
Armenian
Aruban
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Belarusian
Belgian
Belizean
Beninese
Bermudian
Bhutanese
Bolivian
Bosnian and Herzegovinian
Motswana (Botswanan)
Bouvet Islander
Brazilian
British Indian Ocean Territory Citizen
Bruneian
Bulgarian
Burkinabé
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Caymanian
Central African
Chadian
Chilean
Chinese
Christmas Islander
Cocos Islander
Colombian
Comoran
Congolese
Congolese (Democratic Republic)
Cook Islander
Costa Rican
Ivorian (from Côte d'Ivoire)
Croatian
Cuban
Cypriot
Czech
Danish
Djiboutian
Dominican
Dominican (from the Dominican Republic)
East Timorese
Ecuadorian
Egyptian
Salvadoran
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Falkland Islander
Faroese
Fijian
Finnish
French
Metropolitan French
French Guianese
French Polynesian
French Southern Territories Citizen
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltarian
Greek
Greenlander
Grenadian
Guadeloupean
Guamanian
Guatemalan
Guinean
Bissau-Guinean
Guyanese
Haitian
Heard Islander
Vatican Citizen
Honduran
Hong Konger
Hungarian
Icelander
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
I-Kiribati
North Korean
South Korean
Kuwaiti
Kyrgyz
Laotian
Latvian
Lebanese
Basotho (Lesothan)
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourger
Macanese
Macedonian
Malagasy
Malawian
Malaysian
Maldivian
Malian
Maltese
Marshallese
Martiniquais
Mauritanian
Mauritian
Mahoran
Mexican
Micronesian
Moldovan
Monégasque (Monacan)
Mongolian
Montserratian
Moroccan
Mozambican
Burmese (from Myanmar)
Namibian
Nauruan
Nepali
Dutch
Netherlands Antillean
New Caledonian
New Zealander
Nicaraguan
Nigerien
Niuean
Norfolk Islander
Northern Marianan
Norwegian
Omani
Pakistani
Palauan
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Filipino
Pitcairn Islander
Polish
Portuguese
Puerto Rican
Qatari
Réunionese
Romanian
Russian
Rwandan
Kittitian and Nevisian
Saint Lucian
Vincentian
Samoan
Sammarinese
São Toméan
Saudi Arabian
Senegalese
Seychellois
Sierra Leonean
Singaporean
Slovak
Slovene
Solomon Islander
Somali
South African
South Georgian and South Sandwich Islander
Spanish
Sri Lankan
Saint Helenian
Saint-Pierrais and Miquelonnais
Sudanese
Surinamese
Svalbardian and Jan Mayenian
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tokelauan
Tongan
Trinidadian and Tobagonian
Tunisian
Turkish
Turkmen
Turks and Caicos Islander
Tuvaluan
Ugandan
Ukrainian
Emirati
British
American
U.S. Minor Outlying Islander
Uruguayan
Uzbek
Ni-Vanuatu
Venezuelan
Vietnamese
British Virgin Islander
U.S. Virgin Islander
Wallisian and Futunan
Sahrawi (Western Saharan)
Yemeni
Yugoslav
Zambian
Zimbabwean
Are you a resident of more than one country?
*
Yes
No
Current Residential Address
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Current Phone Number
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Email address
*
Type of Account/Policy Held with Us
*
Savings
Investment
Annuity
Others
Other type of account
I confirm that the information provided is accurate and up to date. I understand that false or misleading information may affect my records
By submitting this form, I confirm that I have read and understood the Privacy Policy here https://www.leadway.com/privacy-policy/ and consent to the collection, processing, and storage of my personal data in accordance with the stated terms.
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