Registration

Member Registration

Fill in and submit the form below. Click here to read about membership eligibility

General Information

First Name *

Middle Name

Last Name *

Email *

Phone *

Date of Birth *

Address

Apt, suite, etc.

Country

City

State

Zip code

Occupation *

Employer / Business Name *

ID Number

ID Image Upload

Passport Number

Passport Page Upload

Photo Requirement

Passport Size Photo (2x2 Inches)

Beneficiary 1

Beneficiary 1 Full Name

Relationship

Address

Phone

Beneficiary 2

Beneficiary 2 Full Name

Relationship

Address

Phone

Beneficiary 3

Beneficiary 3 Full Name

Relationship

Address

Phone

Reffered by

Name

Acknowledgement

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Signature

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By clicking SUBMIT, I agree to the terms of the By-Laws and I certify that the information I have provided is true and correct to the best of my knowledge, and this information shall be used for purposes of membership to K-NAD SACCO. I also agree to pay a non-refundable entrance fee of KSHS. 15,000.00, and a minimum monthly deposit of KSHS. 5,000.00 to the Society upon approval.