APPLICATION FORM

LEAD ISSUING HOUSE

Application List Opens
Application List Closes
01 August 2024
09 September 2024
RC1031358
JOINT ISSUING HOUSES

RC 639491 RC 739441 RC 1381308 RC 207138 RC 1297664 RC 1804609

ON BEHALF OF

RC 150224
OFFER FOR SUBSCRIPTION OF 2,767,251,036 ORDINARY SHARES OF 50 KOBO EACH AT ₦36.50 PER SHARE
PAYABLE IN FULL ON APPLICATION
Applications must be in accordance with the instructions set out in the Abridged Prospectus. Care must be taken to follow these instructions as applications that do not comply may be rejected. Before subscribing, please contact your Stockbroker, Solicitor, Banker or an
independent investment adviser registered by the Securities and Exchange Commission, for guidance.
Guide to Application D D M M Y Y Y Y
/ /
Minimum Number of Shares Amount Payable
250 minimum ₦ CONTROL NO. (for Registrars’ use only)

Subsequent multiples of 250 ₦

DECLARATION
I/We am/are 18 years of age or over
I/We note that allotment will only be electronically to the CSCS accounts of allotees and no physical share certificate would be issued
I/We note that Zenith Bank PLC and the Issuing Houses are entitled in their absolute discretion to accept or reject this application
I/We attach the amount payable in full on application for the number of ordinary shares in Zenith Bank PLC
I/We agree to accept the same or any smaller number of units in respect of which allotment may be made upon the terms of the Prospectus
I/We declare that I/we have read a copy of the Prospectus, issued by the Issuing Houses on behalf Zenith Bank PLC
PLEASE COMPLETE IN BLOCK LETTERS
APPLICATION DETAILS
NUMBER OF SHARES APPLIED FOR: VALUE OF SHARES APPLIED FOR / AMOUNT PAID:
₦

INVESTOR DETAILS (INDIVIDUAL / CORPORATE)

TITLE MR MRS MISS OTHERS (PLEASE SPECIFY)

SURNAME / CORPORATE NAME (AS REFLECTED ON CSCS STATEMENT)

FIRST NAME (FOR INDIVIDUALS ONLY) OTHER NAMES (FOR INDIVIDUALS ONLY)

FULL POSTAL ADDRESS (PLEASE DO NOT REPEAT APPLICANT NAME) POST BOX NO. ALONE IS NOT SUFFICIENT

CITY/TOWN STATE COUNTRY

PHONE NUMBER

E-MAIL ADDRESS

NEXT OF KIN (FOR INDIVIDUAL APPLICANTS ONLY) / CONTACT PERSON (CORPORATE ONLY)

CHN NUMBER (CLEARING HOUSE NUMBER) CSCS NUMBER

C

NAME OF YOUR STOCKBROKER MEMBER CODE

JOINT APPLICANT DETAILS

TITLE MR MRS MISS OTHERS (PLEASE SPECIFY)

SURNAME

FIRST NAME OTHER NAMES

BANK DETAILS (FOR E-PAYMENTS)

BANK NAME BVN (OF ACCOUNT SIGNATORIES)

ACCOUNT NUMBER 2ND BVN (CORPORATE/JOINT APPLICANT)

BRANCH CITY/STATE
SIGNATURE (OR THUMBPRINT) 2ND SIGNATURE (CORPORATE/JOINT) SEAL & RC. NO. (CORPORATE APPLICANT)

NAME: NAME:
DESIGNATION: DESIGNATION: RC
PRIVACY NOTICE
By submitting this form, I/we hereby `give my/our consent to the Issuer and the Issuing Houses to use my personal data to process my application. We will share your data with other third parties including regulator for the purposes of processing
your application. You reserve the right to withdraw your consent at anytime. Your withdrawal of consent or refusal to provide certain information may result in us not being able to process your application.
STAMP OF ISSUING HOUSE OR RECEIVING AGENT
Meristem Registrars and Probate Services Limited 213 Herbert
Macauley Way,
Adekunle, Yaba, Lagos
www.meristemng.com

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