SILGOLD SACCO
Membership application
Membership application
1. Applicant details
2. Contact details
3. Employment & business
4. Next of kin
5. Photo & documents
6. Portal & submission
Applicant details
Branch
Default
Surname
*
Other names
*
Date of birth
*
Gender
*
Select gender
Male
Female
ID / passport number
*
KRA PIN
Title
Contact details
Mobile number
*
Email address
*
Present address
Town
Postal code
County
Home county
Home address
Employment & business
Member category
Select category
Individual
Employee
Business owner
Student
Overseas worker
Pensioner
Unemployed
Employer
Department
Terms of service
Official designation
Payroll number
Station
Business name
Nature of business
Business location
Year started
Ownership
Estimated stock value
Licensed
Select
Yes
No
Business licence number
Bank name
Account number
Bank branch
Referee name
Referee member number
Referee occupation
Referee ID number
Referee address
Referee mobile number
Period known
Next of kin
Next of kin 1
Full name
Relationship
ID number
Address
Mobile number
Email address
Next of kin 2
Full name
Relationship
ID number
Address
Mobile number
Email address
Next of kin 3
Full name
Relationship
ID number
Address
Mobile number
Email address
Photo & documents
Passport photo
JPG or PNG · Maximum 2 MB
ID / passport copy
PDF, JPG or PNG · Maximum 5 MB
PIN certificate
PDF, JPG or PNG · Maximum 5 MB
Business licence
PDF, JPG or PNG · Maximum 5 MB
Bank statement (last 6 months)
PDF, JPG or PNG · Maximum 5 MB
Portal & submission
Username
*
Monthly contribution
Salary deduction authorised
No
Yes
Password
Confirm password
I confirm that these details are correct and apply for membership of Silgold SACCO.
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