Client Intake Form | Tenaza Asset Recovery & Intelligence

Client Info

Mandate

Documents

Uploads

Declaration

Section 01

Client / Institution Information

First Name * First name is required

Last Name * Last name is required

Client Type * Please select a client type

Organisation / Company

RC / TIN Number

Contact Person Name

Contact Person Phone

Phone Number * Phone number is required

Email Address * A valid email address is required

Institution or Client Address * Address is required

State / Region

Country

Section 02

Mandate & Debtor Details

Nature of Mandate * Please select a mandate type

Currency

Estimated Claim Value / Loan Amount

₦

Outstanding Balance

₦

Debtor / Subject Full Name * Debtor / subject name is required

Known Last Location / Address

Court Judgment Status

Jurisdictions Involved

Date Debt / Matter Arose

Date of Last Payment

Prior Recovery Attempts

Brief Description of Case * Case description is required

Section 03

Supporting Information

Tick all documents currently available. Your assigned officer will request these.

Loan / Credit Agreement Court Order or Judgment Correspondence with Debtor Bank Statements / Transaction Records Identity Documents of Subject Previous Recovery / Investigation Reports Other Supporting Evidence

Additional Notes or Special Instructions

How did you hear about Tenaza?

Referring Party Name

Section 04

Document Uploads

Upload up to 3 supporting documents. Accepted formats: PDF, JPG, PNG, DOC, DOCX. Maximum 10MB per file. This step is optional You may also send documents directly to your assigned officer.

📄

Document 1

+ Select File

📄

Document 2

+ Select File

📄

Document 3

+ Select File

📌 Documents are stored securely and only accessible to authorised Tenaza officers. They will be attached to your case record once your submission is reviewed and accepted.

Section 05

Declaration & Consent

Client Signature *

Typed name accepted as electronic signature

Signature is required

Date * Date is required

Tenaza Asset Recovery & Intelligence operates across 40+ countries. All information is handled under strict confidentiality protocols. Submission of this form does not constitute a contractual engagement until a formal mandate agreement is duly executed by both parties.

✓

Intake Form Received

Thank you. Your information has been securely submitted. A member of the Tenaza team will be in contact within 1 to 2 business days to discuss your mandate.

REF: —

Please save your reference number for all correspondence.