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Get Africa Prudential Registrars E-Dividend Mandate Activation Form

Lease complete all section of this form to make it eligible for processing and return to the address below. The Registrar Africa Prudential Registrars Plc 220B, Ikorodu Road, Palmgrove, Lagos. I/We hereby request that henceforth, all my/our Dividend Payment(s) due to me\us from my/our holdings in all the companies ticked at the right hand column be credited directly to my /our bank detailed below: Bank Verification Number (BVN): Bank Name: Bank Account Number: Account Opening Date: D D M M .

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