Junior Account Membership Application Form

Junior Account Membership Application

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(PART ONE) PARTICULAR OF APPLICANT.

Child's Name

First

Middle

Last

Birth certificate number

Child’s date of birth

Name of the principal member

ID No of the principal member

Contact

Postal address

(Part two) Commitment.

I intend to commence saving Kshs

Per month with effect from

(PART THREE) NOMINEE

I, the undersigned do hereby authorize the co-operative to give mandate to the following as a guardian to the account owner

Name

First

Middle

Last

ID No

Relationship

Phone No

Postal address

(PART FOUR) MEMBERSHIP TERMS AND CONDITIONS.

• This junior account is designed for persons below the age of 18 years
• This account helps you plan for your child’s future financial needs which includes education
• Registration is Kshs. 1000
• Minimum monthly saving is Kshs. 500
• The principal member will access the funds to pay fees once per term/semester
• The cheque is drawn in the name of the school. (Optional)
• Funds can be used for security for loan by principal member
• On attainment of 18 years the account will be converted to main account
• The account will earn an interest annually provided the funds has not been utilized for 12 months.

(PART FIVE) DECLARATION

I have read, understood and undertake to comply, observe and be bound by the terms and conditions and by-laws which may be amended from time to time.

Applicants signature

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Date