Investment opportunity

Dangote Refinery IPO

Share Subscription / Investor Registration Form

₦525 per unitMinimum 10 units🔒 Secure investor information

Applicant Information

Please provide your details exactly as reflected in your CSCS records.

Applicant Type *

IndividualSubscribe for myself onlyMinorSubscribe on behalf of a child or dependantCorporateSubscribe on behalf of a company

Gender *

Marital Status

Title

Surname *

First Name *

Other Names

Contact & Address Details

Provide accurate contact information for communication and verification.

Full Postal Address *

Letters, numbers and spaces only.

City / Town

State *

Local Government Area *

Country

Phone Number *

Email Address *

Tax Identification Number

Date of Birth *

Mother's Maiden Name *

Next of Kin / Name *

Next of Kin / Phone Number *

Investor & CSCS Information

Existing investors should provide CSCS and stockbroker details. New investors may proceed without them.

Do you have a stock brokerage account? *

Number of Units *

Minimum 10 units, in multiples of 10.

Cost Per Unit

Fixed subscription price per unit.

Total Amount

Number of units × ₦525.

Bank Account Details

Provide the bank account details associated with your investment application.

Bank / Financial Institution *

Type to search for your bank.

Account Number *

Branch

BVN *

Declaration & Consent

Please review the declarations before paying and submitting your application.

I confirm that the information provided in this application is true, accurate and complete to the best of my knowledge. I understand that the information may be subject to verification and applicable regulatory requirements.I consent to the collection, processing and use of my personal information for purposes connected with this application, subject to the applicable privacy and data protection requirements.

Referral (optional)

If someone referred you to this offer, kindly enter their full name.

🔒 Data Security Notice

Please do not submit passwords, PINs, OTPs or other authentication credentials through this form.

Payment & Submission

Get a Globus Bank payment account for this application and pay by bank transfer. Your application is saved when the account is created and confirmed as soon as your transfer arrives.

Amount Payable

₦0

Payment

Pay by bank transfer to your Globus Bank payment account

We create a payment account just for this application. Transfer the exact amount from any Nigerian bank app and your payment is confirmed automatically.

No BVN?

Diaspora investors without a BVN

A BVN is required to subscribe. Nigerians living abroad can get a Non-Resident BVN online, then return here to complete the application.

Application session

Resume token

Save this application and return later with your Application ID, email and resume token. Please copy both codes above and keep them safe.

By getting a payment account, you submit this application and confirm that you have reviewed the information provided and agree to the applicable terms and conditions.