NHF Enrolment - neplcoop.com

(National Housing Fund Decree 3, 1992)

Please read the form carefully before completing it.
The completed form should be returned with passport photos with your name boldly written on the reverse side
Return the completed form to the nearest FMBN office.
All field marked * are compulsory.

NHF Number (if any)

Employment Status

Staff ID / IPPIS No *

SBU *

Employment Status

Date of Employment

Employer Name

Employee Name 1

From:

To:

Employee Name 2

From:

To:

Personal Details

Title

Surname *

First Name *

Other Names

Mobile Number *

Gender

Address

Date of Birth

Email Address

NIN

BVN Number

Customer Bank Name

Account Number

Monthly Salary (Net Pay)

Marital Status

Next of Kin Information

Next of Kin Surname

Next of Kin First Name

Next of Kin Mobile Number

Next of Kin Relationship

Next of Kin Address

NHF Contribution

NHF Contribution *

Upload Passport Photo

I agree that the information supplied above is correct and reflects my true status.