Membership Application

1. Go to M-PESA
2. LIPA NA M-PESA
3. PAY BILL
4. Enter BUSINESS NUMBER 400222
5. ACCOUNT NUMBER:1665490#FIRST AND SURNAME (without spacing)
EXAMPLE: 1665490#ERICKSMITH
6. AMOUNT
7. M-PESA PIN

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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 Wanunuzi 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

BANK NAME: CO-OPERATIVE BANK ACCOUNT NO: 01100856860700 BANK NAME: WANUNUZI SAVINGS AND CREDIT

N/B: Registration fee is non-refundable

Application confirmation

To accept this document, please click YES.