RECURRING PAYMENT MERCHANT APPLICATION FORM

AUTOMATE YOUR COLLECTION WITH ONLINE DIRECT DEBIT

Please complete this form and provide documentary evidence as appropriate,

submission of fraudulent documents and false information will lead to refusal
Instructions
1. Complete only sections that apply to your business needs in BLOCK Letters. Merchant Identification Number (to be assigned by Zenith Bank)

2. Attach photocopies of relevant documents including certificate of company’s Merchant ID

registration

Complete this section with information about your organization and attach a copy of company’s Certificate of
Incorporation.
Business Name: Merchant Trade Name:
COMPANY AND CONTACT INFORMATION

Office Address:

Postal Address:
Name of Primary Contact Person: E-mail Address:

Designation: Mobile Phone:

SECTION 1

Name of Secondary Contact Person: E-mail Address:

Designation: Mobile Phone:

Name of Merchant Admin: E-mail Address:

Designation: Telephone Number:

Type of Ownership:
Sole Proprietor Partnership Limited Liability Company Public Limited Company Government
Religious Organization Other (Specify)__________________________________

Date of Incorporation: Date of Commencement of Business: RC Number: Number of Locations: Staff Strength:

How do you want your setup to be carried out?

Merchant website Zenith Hosted Website GlobalPAY Storefront

Complete this section if you have a functional website and want to integrate Direct Debit/Recurring Payment
into your website.
WEBSITE INFORMATION

Website Name: Website URL: Tentative Go-Live Date:

SECTION 2

Product(s) and Service(s) sold on Website Development Shopping Cart Solution Provider:
site: Platform: …………………………………………………………….……
Java/JSP Website Developer:
PHP
Name:………………………………………………………….
Microsoft.NET
Active Server Pages (ASP) Phone:………………………………………………………….
Coldfusion
Email:.………………………………………………………….
Other (Specify)……………

Select Card Acceptance Type: Local MasterCard & Visa International MasterCard & Visa

Complete this section if you want the ability to store your customer's encrypted card details. Card Tokenization is a security
TOKENIZATION

medium which replaces sensitive card data with randomly generated numbers. This gives you access to the card holder's
SECTION 3

payment information without their actual card details.

CARD

CATEGORY SET UP FEE MONTHLY RECURRING FEE (N) PLEASE TICK

Card Tokenization:
I. Less than 100,000 records 10,000 10,000
II. Greater than 100,000 records 10,000 15,000
 Complete this section if you want to give your customers the ability to schedule automatic bill payments for your service(s).
i.e. Weekly, Monthly, Yearly, etc.
RECURRING
PAYMENTS
SECTION 4
CATEGORY MONTHLY RECURRING FEE (N) PLEASE TICK

Less than 10,000 records 12,500

Between 10,001- 100,000 records 17,500
Over 100,000 records 20,000

Complete this section if you want your customers to have capability to pay their bills through your website or through a
Zenith Hosted Page. This feature works best for Cable TV providers, Telecom operators, Internet Service Providers,
INTERNET PAYMENT

Educational Institutions, Professional bodies etc.

List all the unique fields to capture e.g. Smartcard number, Phone number e.t.c. Mandatory Optional
SECTION 5A

1. _____________________________________________________________
2. _____________________________________________________________
3. _____________________________________________________________
4. _____________________________________________________________
,

Kindly complete your bank information correctly in this column

Account Name & Number: _____________________________________________ & _____________________________
BANK ACCOUNT
INFORMATION

(NGN for local transactions only)

SECTION 6

Account Name & Number: _____________________________________________ & _____________________________

(USD for foreign transactions only)

Branch Name____________________________________________________________

Name & Tel. No. of Relationship Officer: _____________________________ & ________________________

SECTION 7 : DECLARATION
I/We, __________________________________________, on behalf of __________________________________________________________
(Individual’s Name) (Company’s Name)

hereby certify that the information provided on this form is true and accurate. I agree that Zenith Bank reserves the right to take appropriate
measures including legal actions if the information here is discovered to be false. I agree that I will provide Zenith Bank details about any
transaction performed on the site upon demand.

Authorized Signature_____________________________ Designation________________________ Date _________________________

Authorized Signature______________________________ Designation________________________ Date _________________________

FOR OFFICIAL USE ONLY

Please verify that all Signatories in this form are Signatories to the account and are in line with the mandate specified in the account

Remarks (CSU)_______________________________________________________________________________ _________________________

Name (CSU): ____________________________________________ Signature:__________________________ Date:______________________

Name (RSM): ____________________________________________ Signature:__________________________ Date:______________________

Name (HOP): ____________________________________________ Signature:__________________________ Date:______________________

Name (Branch Head): _____________________________________ Signature:__________________________ Date:______________________

 MERCHANT AGREEMENT
THIS AGRREEMENT, made on (Date)____________/_____________/__________, instantly process such transactions online via the relevant institution to
by and between: obtain the issuer's authorization, denial or other response. Upon
authorization, Zenith shall immediately submit a notification to
1. Zenith Bank Plc, whose registered offices are at 84 Ajose Adeogun Merchant by electronic means.
2. Zenith Bank shall arrange to open an account in the name of the
Street, Victoria Island, Lagos, Nigeria (the “Bank”); and
Merchant and shall credit the account of Merchant with the amount of
2. (Company’s Name) _________________________________________ the transaction after deducting its fees and/or any other amounts due
to her in accordance with the provisions of this agreement.
Trade Name (DBA) ___________________________________________ 3. Zenith Bank reserves the right at any time to refuse or stop processing
the transactions of the Merchant where Zenith finds that the Merchant,
Whose main address is at ____________________________________________ after having been duly notified by Zenith of events that pose
unacceptable risks, has not acted to remedy the problem that
___________________________________________________________________ originated such risks.
4. Zenith Bank shall provide Merchant with access to online accounting
reports displaying daily transactions, clearly listing dates, amounts, and
Represented by __________________________________ (the “Merchant”); and
other pertinent information.
5. Zenith Bank shall provide customer services to Merchant
WHEREAS 6. Zenith Bank shall forward to the Merchant a list of all successful
transactions at the end of each accounting period.
ZENITH BANK has a third party MasterCard acquiring license, and acts as the party
that manages the processing of card transactions concluded on the internet MERCHANT’S OBLIGATION
between a Customer and a Merchant. 1. Merchant agrees not to make any warranty or representation
whatsoever in relation to the services which may bind Zenith or any
ZENITH BANK agrees to implement secure accounting and reporting applications of the processing companies and make them liable in any way
whatsoever.
for all MasterCard card transactions.
2. Where required, comply with all security or encryption standards,
rules and procedures recommended by Zenith.
Merchant sells product(s) or service(s) offered to customers online, Internet
3. Inform Zenith of any change in the particulars of its bank account.
Website and Telephone Order and seeks to maintain a card processing account
4. Inform Zenith of any change in goods/services sold on the site.
with ZENITH BANK for all concluded online generated transactions and ZENITH
5. Not capture, by any means possible, user (cardholders) payment card
BANK has accepted to open and maintain such an account in order to manage the
details including but not limited to Primary Account Number (PAN) or
processing and secure payment of said debit, credit and prepaid card transactions.
Card Number, Personal Identification Number (PIN) and Card
Verification Value (CVV).
NOW THEREFORE
6. The merchant shall ensure that Zenith is promptly notified of any
suspected security breach, misuse, irregularities, suspected
In consideration of the mutual covenants and conditions herein stated, the parties
fraudulent transactions, account numbers or any suspicious activities
hereto agree as follows:
that may be connected with attempts to commit fraud or other illegal
1. Recitals and Attachment activity through the use of merchant’s website.
The foregoing recital and all attachments to this Agreement constitute 7. Shall fulfill its obligations to the cardholder and deliver goods or
and integral part thereof. render services as is prescribed or stated on its website.
8. Shall not aggregate or act as an aggregator for other merchants on its
2 . Definitions own website.
The following definitions shall apply:
Liability of the Merchants
Settlement Bank: Zenith Bank PLC
The merchant will be fully responsible and liable for (including without limitations,
Acquiring Bank: Zenith Bank PLC
Proceeds: Value of transactions performed by customers on the all charges, losses or damages whatsoever arising from:
Internet Website of the Merchant. a. Data stored or transmitted on or through the use of the platform; or
Customer: Any customer purchasing products and services via the b. Any use of the systems passwords or identification codes assigned by
Internet MasterCard and Visa.
Merchant: The entity selling the products and services via the
Internet
Transaction: The purchase of goods or services by cardholder from The Merchant understands that:
Merchant Zenith shall be entitled, upon receiving notification from user (cardholders) or a
Cardholder: Is the Customer conducting a purchase transaction using participating bank and without any requirement for or any obligation to obtain any
his card on the Internet Website of Merchant further proof thereof, to:
Cardholder Charge: is the product and/or service price to be charged to the
i. Refuse full or partial payment to the merchant;
Cardholder's Card account for the purchase of
Merchant's products and/or services. ii. Set-off against any payment accruing to the merchant;
Authorization: is the processing of the Cardholder's card data subject to iii. Deduct from the merchant account; or
the cards issuing organization's rules iv. Seek immediate reimbursement to the user for the amount of the
Cards: A current electronically recognized MasterCard,
relevant transaction pending the outcome of the investigation by
Verve/Naira MasterCard and Visa card. A Card shall be
deemed to be current if the date of purchase occurs on Zenith, where”
or prior to the last day of the month and year of a. The merchants product is returned or rejected by the user
expiration embossed on the card. for any reason;
Charge Back: is an invalid transaction that a card issuing organization
charges to Zenith Bank that shall in turn be charged to b. The user did not receive the product(s) ordered on the
the Merchant's account held in Zenith Bank. merchant’s website; and
Refund: is the reimbursement of a sum due from Merchant to c. The relevant bank otherwise refuse, for any reason, to clear
Cardholder
Accounting Period: Means a period for calculating total value of or settle the funds in connection with a transaction.
Transactions for transferring the funds due to Merchant
Payment: The transfer of funds due to Merchant Fees and Charges
Settlement Fee: The amount of various fees to be charged to Merchant’s
account in accordance with the
1. Merchant shall pay transaction fee (refer to fee schedule) for every
transaction processed via the internet.
2. Merchant shall pay fees and various charges in accordance with Fee and
Zenith Services
Charges schedule attached hereto. Such Schedule being an integral part
Zenith agrees to provide the following services: of this agreement.
1. Upon receiving the electronic message of any and all transactions
properly formatted and sent from the Merchant site, Zenith Bank shall
 MERCHANT AGREEMENT
Dispute/Chargeback FEE SCHEDULE
1. Any dispute or claim relating to any transaction done on the platform
shall be reported within one hundred and twenty days (120 days) of The following fees shall apply:
occurrence else transaction claims becomes invalid. Application Fee: MasterCard and Visa - N75,000
2. Merchant hereby agrees to indemnity and hold Zenith indemnified
against any loss, dispute, or claim that may arise between the user and Transaction Fees: Local Cards: 1.5% Capped at N2,000
the merchant. International Cards: 3.5%
NB: The application Fee is non-refundable.
Settlement
1. Settlement of transaction shall take place within 24 hours (T + 1) from 1. CARD TOKENIZATION
the day of transaction for local transactions and 48 hours (T + @) for A. MONTHLY CARD TOKENISATION
foreign transactions from the day of transaction. I. Card payments less than 100,000 records is N10,000
II. Card payments greater than 100,000 records N15,000
Force Majeure
Neither the bank nor the merchant shall be liable for any loss incurred by failure in B. ONE OFF SETUP FEE
any machine, information systems or communications link or caused by Setup fee for Card Payment Tokenization is N10,000
circumstances beyond a party’s direct control. Furthermore, the Bank shall not be
responsible or liable for non-acceptance of a card by the merchant. For any failure C. MONTHLY RECURRING PAYMENT
or reluctance to accept a card, for the way in which it is accepted, or for any action I. Recurring payment less than 10,000 records is N12,500
attached to its acceptance. II. Recurring payment between 10,001 to 100,000 records is N17,500
III. Recurring payment greater than 100,000 records is N20,000
Indemnity
The merchant agrees to defend, indemnify and hold the Bank harmless from any
claim by a third party for any damages, including loss profits, direct, incidental,
consequential, special, indirect or punitive damages arising out of or relating to
DECLARATION
the merchant’s use of the services provided by the Bank hereunder, provided that
where a claim is notified to the Bank, it promptly notifies the merchant of any
such claims and the merchant is allowed an opportunity to fully participate in the I, ___________________________________, hereby certify that the information
defense or settlement of any such claims. Such indemnification shall not apply to provided in this form is true and accurate. I agree that Zenith Bank PLC reserve the
personal injury or property damage. right to take appropriate measure including legal actions if the information here is
discovered to be false.
Terms & Renewals
This agreement becomes effective upon signing and is valid for one year and is Signature:_____________ Company Stamp/Seal: ___________Date:____________
automatically renewable for periods of one year thereafter unless either party
terminates it by giving a sixty (60) days written notice to the other party.
Name:_______________________________ Designation:___________________
Without prejudice to anything else herein contained, this Agreement may be
terminated by either party without the need for prior notice or to any judicial or Signature:_____________ Company Stamp/Seal: ___________Date:____________
extra-judicial proceedings in the following situations:
1. Should any party commit a remediable breach of any of the terms of Name:_______________________________ Designation:___________________
this Agreement and fail to remedy it to the other party's reasonable
satisfaction within 30 days after receipt of notice to that effect,
2. Should the Merchant charge backs exceed the limits set forth in this
Agreement,
3. Should the Merchant fail to comply with the rules of the local and
international Institution i.e MasterCard or Visa or cause activity which
materially increases the bank’s risks,
4. Zenith reserves the right to amend this Agreement where necessary
upon thirty days prior notice to the Merchant. Such amendments shall
be binding unless the Merchant delivers to Zenith Bank written notice
of termination of this Agreement prior to the expiration of the thirty-
day notice period. Furthermore, any amendment is deemed to be
automatically accepted by the Merchant upon receipt, if the merchant
continues to send transactions to Zenith Bank following receipt of such
proposed amendment.

Governing Law and Disputes

The laws and conditions of the Federal Republic of Nigeria shall govern this
Agreement.
Any disputes between the parties arising from or related to this
Agreement shall be settled by arbitration according to Laws and conditions of the
Federal Republic of Nigeria.

In witness whereof, the parties have duly executed this Agreement on the date
indicated below

Zenith Bank PLC Merchant Name

Signature:______________________ Signature: ___________________________

Date:__________________________ Date:_______________________________