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TOKEN APPLICATION /REPLACEMENT FORM New Token Replacement tick appropriate box Account Name Token ID Describe the issue with your token device replacement Pick Up Option Self Proxy Customer must complete an indemnity form Courier Delivery Delivery Address outside Nigeria only Authorised Signature Forms should be filled and mailed to u-token ubagroup.com. For customers outside Nigeria please e-mail your completed forms to nrnbanking ubagrouup.com For Official Use Only Treated by Signature Date...Approved by Customer Responsibility UNITED BANK FOR AFRICA PLC shall not be liable to the user or to any third party for any drawing transfer remittance disclosure or any activity or incidence on the user s account whether wilfully authorized by the user or not PROVIDED that such drawing transfer remittance disclosure or any activity or incidence was user authorized or made possible by the fact of the knowledge and/or use or manipulation of the user s password or otherwise by the user s...negligence Service Access Your access to the internet banking service may be suspended at any time without notice to maintain the integrity of this service or in instances of system maintenance or failure or for any reasons beyond UBA s control. UBA also reserves the right to temporarily or permanently change modify or discontinue this service at any time without notice. You hereby agree that UBA will not be liable to you or any third party for the exercise of these rights of suspension...modification or discontinuation* www.

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How to Upgrade My Form on pdfFiller

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Understanding your current form status

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Support resources for upgrading your form

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