Online Banking Registration

Step 3/4

Couthon Registration Form

 
PERSONAL INFORMATION (all fields are Compulsory)

Firstname is required. Firstname must specify at least 6 characters.

Lastname is required. Lastname must specify at least 6 characters.

Email is required. Enter valid email

Phone Number is required.
 
 
 
 
EMPLOYMENT SECTION (Incase of Loan/Facility)
 
 
 
NEXT OF KIN DETAILS (Beneficiary)
 
 
 
 
SECURITY QUESTION(S)
 
 
 
 
LOGIN DETAILS (compulsory)

required. min of 6 characters. max 10 characters.

required. values don't match
 

Pin is required. at least 4 characters. max of 6 characters. Pin must be Integer.

Confirm Password is required. Account Pin is required. values don't match
 
 
 
Couthon Terms and Conditions Applied