To empower women and girls because women count
Full Name
ID/Passport Number
Date of Birth
Gender
MaleFemaleOther
Occupation/Employer
Email Address
Phone Number
Physical Address/County
Postal Address
Next of Kin Name
Relationship
Mobile No.
How did you hear about us?
GoogleSocial MediaA FriendTV/RadioOther
Reason for joining the SACCO
Preferred savings contribution plan
MonthlyQuarterlyYearlyOther
Initial desposit amount (KSh)
Mode of contribution
Bank DepositPayroll DeductionMobile MoneyOther
I declare that the information provided herein is true and correct to the best of my knowledge. I agree to abide by the SACCO's by-laws, rules and regulations.
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