Personal Details Employer Details Salary and Disbursement Account Details Account Statement Summary Title Mr Miss Ms Mrs *Required Field *Required Field *Required Field *Required Field *Required Field *Required Field *Required Field Marital Status Single Married Divorced Widowed *Required Field Gender Male Female *Required Field No of Dependants 0 1 2 3 4 5 6 7 8 9 10 *Required Field Highest Level of Education None Primary Secondary Tertiary Post Graduate *Required Field *Required Field State of Residence Abia Adamawa Akwa Ibom Anambra Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Edo Ekiti Enugu FCT Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara *Required Field Local Government of Residence *Required Field Social Media Facebook Twitter Instagram Linkedin How did you hear about Capival Family or Friend Sales Rep Website Radio Billboard Social Media Print Media Other *Required Field Upload Passport Photograph Max. file size is 1MB. jpg,png,jpeg file formats only Upload Government ID Front View Max. file size is 1MB. jpg,png,jpeg,pdf file formats only Back View Max. file size is 1MB. jpg,png,jpeg,pdf file formats only *Required Field Next of Kin Information *Required Field *Required Field Relationship Spouse Parent Sibling Aunt/Uncle Others *Required Field Continue *Required Field *Required Field *Required Field *Required Field Loan Tenure 1 2 3 4 5 6 7 8 9 10 11 12 *Required Field *Required Field Staff ID Front View Max. file size is 1MB. jpg,png,jpeg,pdf file formats only Back View Max. file size is 1MB. jpg,png,jpeg,pdf file formats only *Required Field *Required Field Back Continue Salary Account Account Type Current Account Savings Account *Required Field Select Bank Access Bank Citibank Ecobank Nigeria Fidelity Bank Nigeria First Bank of Nigeria First City Monument Bank Guaranty Trust Bank Heritage Bank Plc Jaiz Bank Keystone Bank Limited Providus Bank Plc Polaris Bank Stanbic IBTC Bank Nigeria Limited Standard Chartered Bank Sterling Bank Suntrust Bank Nigeria Limited Union Bank of Nigeria United Bank for Africa Unity Bank Plc Wema Bank Zenith Bank Globus Bank Taj Bank Titan Trust Bank *Required Field *Required Field VALIDATING... *Required Field Disburse to Capival Flex Wallet Back Continue Generate Automatically Manual Upload Click on the button below to automatically generate your bank statement using your mobile or internet banking details. Generate Account Statement Kindly wait for few seconds to generate your statement after which you can proceed. Thank you! Your account statement has been generated and forwarded to Capival Investment Limited successfully Upload 6 months Bank Statement Uploading your statement manually may take up to 12 working hours to confirm. Max. file size is 1MB. pdf file format only *Required Field Back Continue Summary Personal Details Title BVN First Name Middle Name Last Name Gender Phone Number Date of Birth Email Marital Status No of Dependants Level of Education Introduced Via Referral Code State of Residence Local Govt of Residence Residential Address Social Media Option Social Media Handle Next of Kin Full Name Phone Number Email Relationship Employment Details Employer Name Employment Date Net Monthly Income Other Monthly Loan Repayments Loan Amount Loan Tenure Official Email Employer Address Salary and Disbursement Account Details Bank Name Account Type Account Number By clicking on the submit button I accept all Terms & Conditions I accept your Privacy Policy Back Submit