Chama/Corporate/Club/Group Membership Application Form 

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Part One

Name
Date registered
Purpose of opening the account -Investment

and / or

Savings and credit

Note: Registration fee is Kshs. 5000 and Minimum Contribution is Kshs. 5000 per
month.
PART TWO
Name of Directors / Principal Officers / Officials

1

Name
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2

Name
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3

Name
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4

Name
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5

Name
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Name of contact person:

Mr/Mrs/Miss
Use your mouse to sign in the box above. To redo press the x on the right to redo the signature
(minimum being Kshs. 5,000).