AMMBAN recovery intake

EXCESS BANK CHARGES RECOVERY - AGENT CONSENT FORM

AMMBAN, in partnership with BABNOL IDEAL CONSULT, is coordinating this recovery process for mobile money agents in Nigeria.

AMMBAN and BABNOL Ideal Consulting are leading this recovery mandate.

Need help before you submit?

Watch the quick recovery guide video for better understanding before filling this form.

Watch guide video

Full Name as on Bank Account *

Enter your full name exactly as you want it recorded for this recovery case.

Phone Number *

Recovery Bank Section

Choose the bank first, enter the account number, and let the system confirm the account name automatically. You can add up to 10 bank accounts to one submission.

Recovery Bank 1

Only verified account names will be accepted for submission.

Bank *

Account Number *

Account Name *

Account name will load automatically.

Address *

State *

LGA *

Referral Link *

A referral is required before the form can be submitted.

Agent Signature * (Sign in the area provided or upload signature)

Upload Signature (Image only)

Allowed: JPG, PNG, WEBP, GIF, BMP. PDF is not allowed.

By signing and previewing this form, you consent to AMMBAN and BABNOL IDEAL CONSULT processing your excess bank charges recovery request.

I have read and accepted the for this recovery process.

Scroll through all terms and conditions to enable the checkbox and preview.