Membership System

Membership Application Form

Membership Application

First Name

Other name(s)

Last Name

Employment Number

Employer

Occupation

Contact Address

Physical Address

Mobile Number

Home Village Head

Traditional Authority (T/A)

District

Date of Birth

Gender

Country of Origin

Marital Status

Spouse Name

ID Type

ID Number

Expiry Date

Next Of Kin Firstname

Next Of Kin Lastname

Next Of Kin Relationship

Next Of Kin Phone:

Beneficiary Firstname

Beneficiary Lastname

Beneficiary Relationship

Percentage

Add Beneficiary

Utility Bill

Account Number

Other (Specify)

Attach ID Front

ID Back

Member Photo (Passport-Size)

Passport

Utility Bill

Description of location of residence

Payroll Deduction Authorisation

I hereby freely authorise my employer(indicated herein) until further notice by me in writing through Kuwala SACCO Ltd a monthly deduction broken down as follows:

Shares (Mwk)

Deposits (Mwk)

From my salary to pay the total sum each month on my behalf to Kuwala SACCO Ltd with effect from:

Where do you want to be served from?

How did you know about us?

I hereby declare that the information given herein is true and accurate.
By clicking Yes, I agree, I hereby make application for membership and agree to conform to the bylaws of the Sacco and any amendments thereof.

No, I do not agree. (This will cancel your membership application)