AAK Co-operative Sacco Ltd - The Built Environment Sacco | INDIVIDUAL MEMBERSHIP APPLICATION FORM

INDIVIDUAL MEMBERSHIP APPLICATION FORM

I hereby make an application for membership to AAK Cooperative Sacco Ltd and agree to conform to the Cooperative’s By-Laws and any amendment thereof.
Kindly:
1. Complete Parts A to D.
2. Attach:
(i) One recent coloured Passport Size Photograph,
(ii) A copy of your National ID/Passport,
(iii) A copy of your KRA PIN.
PART A: PERSONAL INFORMATION (as per National ID or Passport)
Full Name*

PrefixOther NamesSurname
Passport Photo*

Cancelof
ID/Passport No.*
Upload Scan Copy of National ID/Passport:*

Scan Copy of National ID/Passport
Cancelof
KRA PIN No.*
Upload Scan Copy of KRA PIN:*

Scan Copy of KRA PIN
Cancelof
Date of Birth*

DayMonthYear
Sex*

MaleFemale
Phone Number*

Country CodePhone Number
E-mail*
example@example.com
Address*

Street Address

P. O. Box

Town/CityCounty

Postal CodeCountry
How did you get to know about AAK Sacco?

WebsiteSocial MediaOfficeEventReferralOther
Referred by (if applicable)
Member Name and Membership Number
Event (if applicable)
Event Name

PART C: NOMINEE NEXT OF KIN INFORMATION
I, the undersigned, in the event of my death whilst a member of the Society, hereby instructs the Society to pay all amounts due to me, less any debts to the Society to the person(s) named in this section.

I understand that I may alter the name of the nominated next of kin(s) by filling a subsequent Nominated Next of Kin Form.

NB: The name(s) of nominee(s) can be given in a sealed letter.
Nominated Next of Kin*
Witnessed by:*

First NameLast Name
Witness' Signature*

PART D: ACCOUNT, SHARES AND CONTRIBUTION INFORMATION
I hereby commit to purchase and save the below number of shares and regular savings deposits respectively:
NB:

* Minimum monthly savings contribution is KES 1,000.

* Minimum number of shares at entry is 500 at KES 10 each.

*Registration Fee is KES 2,500.
Number of Shares
Total Share Value (KES)
Monthly Savings Contribution (KES)
W. E. F. (With Effect From):

DayMonthYear
Date
Applicant's Signature*
Please verify that you are human*
Should be Empty:

INDIVIDUAL MEMBERSHIP APPLICATION FORM