Junior Member Application Form

JUNIOR MEMBERSHIP APPLICATION FORM
PART A: PERSONAL DETAILS

First Name

Last Name

ID No.

Membership No.

Postal Address (P.O Box No.)

Town

Post Code

County

Location

Mobile Number

PART B. TERMS & CONDITIONS

a) Minimum amount to be deposited is Ksh.50,000 & for a period of twelve months.
b) Interest earned is subject to withholding tax.
c) Funds withdrawable can be extended with a notice of one month
d) No withdrawal before maturity.
e) Funds withdrawal notice of one month.
f) Withdrawal fee of ksh. 500.

Residence

Email *

Name of Child

Gender

Date of Birth

Birth Certificate No.

Name of Child

Gender

Date of Birth

Birth Certificate No.

Savings Period

6 Months
12 Months
24 Months
Other

PART C. Relationship with Child (Tick)

Relationship

Parent
Guardian
Other (Specify)

Specify here

REQUIREMENTS
• Copy of birth certificate
• Colored Passport size photo
• Minimum deposit Kshs. 500 per month
I confirm that the above information is to the best of my knowledge, true and correct.

I hereby accept the interest rate that will be granted and the terms and conditions of the product as well as the Sacco policies.

Applicants' Parents Signature

Date / Time

Phone