Akim Bosome Rural Bank - Share Application

Share Application Form

Complete the form below to apply for shares.

Personal Information

Applicant Photograph * Passport-size picture only (Headshot, JPG/PNG, Max 2MB)

Upload passport-size photograph only

JPG / PNG

Applicant Name * (As it appears on your Ghana card)

Phone Number *

Email Address

Postal Address

Residential Address and Digital Address or GPS Address

Occupation

Ghana card number

Date of Birth

Next of Kin

Share Details

Share Value

Number of Shares

Amount of Deposit

Payment Method *

Cheque / Draft Number

Mobile Money Network

Mobile Money Number

Applicant Signature *

Total Shares Applied: 0

Security Verification