TRANS ELITE COUNTY SACCO LTD – MEMBERSHIP REGISTRATION PORTAL

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MEMBERSHIP REGISTRATION PORTAL

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MEMBERSHIP REGISTRATION PORTAL

Member Registration FORM
Membership

Member Registration

MEMBERSHIP/ACCOUNT OPENING APPLICATION

Please upload your ID/Passpport,Sample Signature and Passport size picture

Registered By

Self

SACCO Staff

Group Member

Yes

No

Group Name

First Name

Middle Name

Last Name

ID Number/Passport Number

Phone/Mobile

Email

Monthly Contribution

Gender

Male

Female

Marital Status

Married

Single

Divorced

PHYSICAL ADDRESS

County

Sub County

ward

Address

Address Line 1

City

Zip Code

Country

Are you employed?

Yes

No

Employed By TSC?

Yes

No

Employment Terms

Permanent

Contract

Employer Name

Work Station

TSC Number

Self Employed(indicate i.e Farmer or Business Person)

Location/Town

Economic Activity

How did you hear about us?

Introduced by a Member

Internet

Radio/News letters

SACCO Marketing Team

Introducer Member Name

Member station or Employement Number

SACCO Staff Name

NEXT OF KIN DETAILS

Next of Kin Full Name

Next of Kin Phone/Mobile

Next of Kin Relationship

If other, indicate

Uploads

Upload your ID both sides(Front/Back), Passport Size picture,Specimen Signature

ID Front

Upload ID A

ID Back

Upload ID B

Selfie Photo(Passport Size)

Upload Selfie

Specimen(Sign on plain paper & take Pic)

Upload Sign

CONSENT

I , unequivocally consent that my personal data, collected in connection with such terms and conditions, may from time to time be used and disclosed for such lawful purposes as maybe in accordance with the TRANS ELITE COUNTY SACCO LTD prevailing Privacy Policy and the relevant laws as amended from time to time.

Names

Staff Number

I have read and agree to the Terms and Conditions and Privacy Policy

Confirm