Membership Application

One has an opportunity to cultivate savings culture and continuously save without interruptions.
We have affordable credit products through ones deposit with low interest rates.
Attractive dividends on Shares and interest on deposits.
Access to affordable insurance products

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PERSONAL DETAILS

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Name

Numbers

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Phone

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

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National ID

Passport Photo

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Name of Employer

Employer Phone Number

Employment

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Do you belong to a similar Sacco

Were you once a members of Charismata Sacco?

NEXT OF KIN DETAILS

I, the undersigned, in the event of my death whilst a member of the society, hereby instruct the society to pay all amounts due to me less any debts to the society to the person named in this section. I understand that I may alter the name of the nominated next of kin by filling in a subsequent nominated next of kin form.

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Name

ID Numbers

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Phone

Relationship to Applicant

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

PAYMENT DETAILS

CO-OPERATIVE BANK ACCOUNT NO: 01120091620300 CO-OP HSE BRANCH MPESA: PAYBILL, BUSINESS NO: 543100 A/C NO (Membership number and branch)

N/B: Registration fee is non-refundable

Application confirmation

To accept this document, please click YES.