KINGDOM SACCO SOCIETY LIMITED

KINGDOM SACCO SOCIETY LIMITED

Website: www .

APPLICATION FOR MEMBERSHIP- CORPORATE / JOINT ACCOUNT

Date of Application:.............................

1ST SIGNATORY¡¯S DETAILS

Personal Details

First Name:

Middle Name:

Last Name:

Location

Others (specify)

Town

If in formal employment

Employer¡¯ s Address:

1ST AUTHORIZED SIGNATORY

Page 1 of 8

KINGDOM SACCO SOCIETY LIMITED

Website: www .

APPLICATION FOR MEMBERSHIP- CORPORATE / JOINT ACCOUNT

Date of Application:.............................

2 ND SIGNA TORY¡¯S DET AILS

Personal Details

First Name:

Middle Name:

Last Name:

Location

Others (specify)

Town

If in formal employment

Employer¡¯ s Address:

2ND AUTHORIZED SIGNATORY

Page 2 of 8

KINGDOM SACCO SOCIETY LIMITED

Website: www .

APPLICATION FOR MEMBERSHIP- CORPORATE / JOINT ACCOUNT

Date of Application:.............................

3 RD SIGNATORY¡¯S DETAILS

Personal Details

First Name:

Middle Name:

Last Name:

Location

Others (specify)

Town

If in formal employment

Employer¡¯ s Address:

3RD AUTHORIZED SIGNATORY

Page3 of 8

KINGDOM SACCO SOCIETY LIMITED

Website: www .

APPLICATION FOR MEMBERSHIP- CORPORATE / JOINT ACCOUNT

Date of Application:...........................................

4 TH SIGNATORY¡¯S DETAILS

Personal Details

First Name:

Middle Name:

Last Name:

Location

Others (specify)

Town

If in f or ma l employment

Employer¡¯ s Address:

4TH AUTHORIZED SIGNATORY

Page 4 of 8

KINGDOM SACCO SOCIETY LIMITED

Website: www .

APPLICATION FOR MEMBERSHIP- CORPORATE / JOINT ACCOUNT

Business /Group Details

Name of Business/Group:

(as per registration certificate, copy of which is to be attached)

Registration No:

Physical Location :

Email Address:

Office Tel No.:

Office Tel No.:

Mobile Tel. No.:

Town :

County:

Gener al Information

Current Bankers :

Branch:

Number of Members/Shareholdrers:

Are you a member of any other Society

Yes

No

If Yes, Name:

Common Bond:

BOSA Account Deta ils

BOSA Account Details

Title of Account:

Voluntary Assignment:

We undertake to make contributions of Kshs ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­ on a monthly basis

1. Signature:

2. Signature:

3. Signature:

4. Signature:

Mode of Operation: Any to Sign

Other

Two to sign

Three to Sign

All to sign

(Explain)

(Tick as appropriate and Fill the Application Form if sole proprietorship or if the signing instructions are ¡°any to sign¡±)

Cheque Book

SMS Alert

e-Statements

Page 5 of 8

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