INSTRUMENT REQUEST FORM 1 Account Type Account Information Languagepick one!Pick a RequestAccount Linking/DelinkService DeactivationBVN updateCard replacementCard request Surname Firstname Othernames Account number Emaila valid emailemail Date of Birthof appointmentdate_range Declaration I agree*I/We affirm, confirm and undertake that I/We have read and understood the terms and conditions for usage of the self-service of Gateway Mortgage Bank and agreed to all the terms and conditions herein terms and condition of applying for usage/availing/maintain/operating(as applicable) of service as may be in force time to time. I/We further authorized Gateway Mortgage Bank to debit my/our account towards any applicable charges for service. Submit keyboard_arrow_leftPrevious Nextkeyboard_arrow_right
