Membership Joining Form

PERSONAL ACCOUNT/JOINT ACCOUNT OPENING FORM

Personal Account Holder*

Account Name

1ST APPLICANT

Full Names(Mr./Mrs./Ms/Miss./Dr./Prof.) *

First Name

Nationality*

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Date of Birth*

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ID/Passport No*

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KRA PIN/KRA PIN Copy*

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Division*

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Location*

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Sub-location*

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Marital Status*

Married

Single

Divorced

Permanent Address*

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Mailing Address: P.O. Box*

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Code*

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Tel. Office*

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Mobile No*

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Tse No*

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Personal No:*

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Email *

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Page 2

Work Station*

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Occupation *

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Employer*

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Employer's Postal Address *

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Next of Kin Details

Page 3

APPLICATION FOR MEMBERSHIP

I hereby make an application for membership and agree to abide by the SACCO by laws and any amendments made therein from time to time. I have enclosed KSH. 1000/500 with the application being entrance fee.

DEDUCTION OF MONTHLY DEPOSITS

I hereby authorize you to deduct a monthly amount KSHS (in figures)*

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Amount in words*

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from salary / account savings at the end of every month towards my deposits with effect from*

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and to run every day of the month. *

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Have you been a member?*

Yes

CUSTOMER DETAILS

Other transaction Account*

Holiday

Education

Hippo Junior (Please fill the following detail for the minor/ child)

Page 5

DECLARATION

I/we confirm that:

a) The information I /We have provided herein and the disclosures made are true: and

b) I /We have received received read and understood the General Terms and Conditions of the SACCO and undertake to comply, observe and be bound by the same.

DOCUMENTS REQUIRED INDIVIDUAL/ COMPANY CHECK LIST

Upload Required Documents

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Max file size: 9.54 MB. | Allowed file types: gif,jpeg,png,jpg,pdf,doc,docx,jpeg | Min number of file: 1

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Original ID's / Passport sighted

ID's/ Passport copies obtained

Application Details Completed

Specimen Signature Obtained

I confirm that the above details have been completed in accordance with KYC procedures and that relevant documents are attached. I confirm acceptance of this customer relationship with SOLUTION SACCO-POSA

PERSONAL ACCOUNT/JOINT ACCOUNT OPENING FORM

1ST APPLICANT

Page 2

Next of Kin Details

Page 3

APPLICATION FOR MEMBERSHIP

DEDUCTION OF MONTHLY DEPOSITS

CUSTOMER DETAILS

Page 4

ADDITIONAL ACCOUNT SERVICES (to be filled by new and existing applicant)

Page 5

DECLARATION

DOCUMENTS REQUIRED INDIVIDUAL/ COMPANY CHECK LIST

Upload Required Documents

I confirm that the above details have been completed in accordance with KYC procedures and that relevant documents are attached. I confirm acceptance of this customer relationship with SOLUTION SACCO-POSA

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