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Membership Application Form

The document is an application form for membership in Sheria Sacco Society Limited, requiring personal, employment, and business details from the applicant. It outlines the necessary documents to attach, membership eligibility criteria, rights and obligations of members, and terms for using the Sacco Link Card. The form also includes a section for the applicant's declaration and official use by the society.

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0% found this document useful (0 votes)
55 views4 pages

Membership Application Form

The document is an application form for membership in Sheria Sacco Society Limited, requiring personal, employment, and business details from the applicant. It outlines the necessary documents to attach, membership eligibility criteria, rights and obligations of members, and terms for using the Sacco Link Card. The form also includes a section for the applicant's declaration and official use by the society.

Uploaded by

c52870496
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SHERIA SACCO SOCIETY LIMITED

CCO SOCIE
MEMBERSHIP ACCOUNT OPENING

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APPLICATION FORM

HEAD OFFICE SACCO FOSA OFFICE

Tel: 020 - 7801500, Milimani Law Courts, 2nd Floor, Community

P. O. Box 34390-00100, Nairobi Tel: 020 - 7801500,

Email: bosa@sheriasacco.coop, P.O. Box 34390-00100, Nairobi,

Website: www.sheriasacco.coop Email: bosa@sheriasacco.coop

* Complete Your Details in Capital Letters


*Attach a copy of your National I.D/Passport, Marriage certificate/Affidavit and ID’s of dependants.

1. DETAILS OF THE APPLICANT

Mandatory details: Photo, Email address, Postal address, Mobile phone number
Mr./Mrs./Miss/Dr./ Hon. Justice (As per I.D.) ________________________________________

PJ/PF/STAFF NO GENDER DATE OF BIRTH (DD/MM/YY)

MARITAL STATUS NATIONALITY ID/ PASSPORT NO

EMAIL ADDRESS PHYSICAL RESIDENCE MOBILE PHONE NO

POSTAL ADDRESS POSTAL CODE TOWN

2. EMPLOYMENT DETAILS

SALARIED/SELF EMPLOYED/RETIRED NAME OF EMPLOYER PHYSICAL LOCATION

POSTAL ADDRESS POSTAL CODE TOWN

TELEPHONE NUMBER OCCUPATION/DESIGNATION

“Inspire, Equip, Empower”


3. BUSINESS DETAILS (To be completed by a business applicant)

BUSINESS NAME BUSINESS PHYSICAL LOCATION

POSTAL ADDRESS NATURE OF BUSINESS

APPROXIMATE MONTHLY INCOME (KSHS)

4. CONTRIBUTION DETAILS

I wish to make a monthly contribution of Kshs Effective date (mm/yy)


Proposed mode of remittances Check off Standing Order Cash Deposits
Have you ever been a member of Sheria Sacco Ltd in the past ___________________________
________?
Have you ever been a member of another Sacco____________________ which one______________?
__
Membership fee to be paid to;

Sheria Sacco Society Ltd,


Cooperative Bank of Kenya,
Upper hill Branch,
A/C No: 01120040133000

5. BURIAL BENEVOLENT FUND REGISTRATION


Single Married
NAME OF NEXT OF KIN DATE OF BIRTH RELATIONSHIP CONTACT

NB: Kindly attach the following documents :-

1) Marriage Certificate / Affidavit 2) Children Birth Certificate 3) Copy Identity Card for Spouse

“Inspire, Equip, Empower”


6. DECLARATION
I confirm that the information given above is true to the best of my knowledge. By signing on this form,
I request you to open an account in my name(s) provided. I agree to abide by the by-laws of this society.
I have read and agreed to abide by the Terms and Conditions of this application.

I agree that this account shall be operated solely at the discretion of the society and hereby indemnify the
society at my cost, against any cost incurred or claims arising out of the account.

Applicant’s Signature Date

Name of Witness Membership No. Signature Date

7. FOR OFFICIAL USE


Date of Admission.........................................................................................................................................................

Recovery effected by (Name).................................................................................... Date.........................................

Signature................................................................................W .E.F..............................................................................

Membership Acknowledged by (Name).............................................................................Date................................

8. TERMS AND CONDITIONS


Membership Eligibility- Bylaw no.9
Any natural, legal or a group of person(s) eligible for membership of the society may apply to be members by
completing an
“application for membership” form, and may be admitted if they meet the following requirements:
a) Is within the field of membership provided for in the bylaws.
b) Is not less than eighteen years of age, if a natural person.
c) Is not a member of another salary based Sacco in the country.
d) Is not directly, a money lender or carrying out such activities detrimental to the objectives of the society.
e) Is of good character.
f) Has regular income from employment, business or trade.
g) Has paid entrance fee and minimum shares as prescribed in the membership policy.
h) Has completed member’s nominee card, appointing a nominee(s).
i) Has completed member’s burial benevolent fund form, appointing dependant(s).
j) Has understood the objectives of the Society, his obligations as a member and other membership
requirements as stated in the Society By-law.

Members’ Rights - Bylaw no. 14


The following are the rights that you enjoy as a member of Sheria Sacco:
a) Receiving, periodically and regularly, or upon request, and at least once a year, a statement of accounts
containing the individualized record of your credit and debit transactions.
b) Attending and participating in elections within the electoral zone. Each member shall have one vote
irrespective of his/her total shareholding.

“Inspire, Equip, Empower”


c) Electing representatives to attend and participate at a general meeting.
d) Electing or be elected as an officer of the Society, unless otherwise prohibited by any other law or these
By-laws.
e) Using the Society’s services according to the policies and procedures approved by the Board of Directors.
f) Submitting projects or initiative to the Board of Directors, for the improvement of the Society’s services.
g) Appointing a nominee.
h) Participating in the sharing of the Society’s surpluses.
i) Accessing all legitimate information relating to the Society, including internal regulations, registers, minutes
of the General Meetings, Supervisory Committee reports, annual accounts and inventories, investigation
reports, at the registered office of the Society, subject to the Society’s policies and regulations in force at
the time.
j) Voting on all matters put before the electoral zone.
k) Enjoying all other rights as prescribed by the Co-operative Act and the Rules.

Members’ Obligations - Bylaw no. 15


As a member of Sheria Sacco you are obliged to:
a) On admission, contribute Kshs. 20,000 share capital that is non withdrawable but transferrable to another
member.
b) On admission, pay a non recurrent fee to consist of Kshs. 1,000 being membership registration, Kshs. 200 being
Burial Benevolent Fund registration and Kshs. 500 being FOSA Account opening. A member is also required to
make mandatory monthly Burial Benevolent Fund contributions amounting to Kshs. 200.
c) Make a mandatory minimum monthly contribution of Kshs. 2,000.
d) Be faithful and honest in all your dealings with the Society.
e) Observe the law, the rules and these By-laws whenever transacting any business with the Society.
f) Observe the code of conduct and ethics of the Society, and in particular desist from any corrupt practices
in all dealings with the Society.
g) Refrain from engaging in the business of money lending in competition with the Society.
h) Protect the image of the Society and avoid unnecessary publicity, incitement or careless talk that can injure
the reputation of the Society.
i) Inform the Chief Executive Officer in writing of change of my physical address and contact details whenever they
occur.
j) Pay my debt obligations to the Society without fail and save regularly with the Society.
k) Seek cooperative education to improve my awareness and enlightenment on cooperative matters.
l) Attend meetings and education forums and take part in Society’s decision-making.
m) Informnon-membersandencouragethemtojointheSociety.
n) Identify problems affecting the Society and suggest solutions.
o) Participate in the Society’s projects, both physically and financially.
p) Make use of the services of the Society as stated in its objects.
q) Comply with these By-laws, the Co-operative Act, the Sacco Act, Rules, Regulations and resolutions of
General Meetings.

General Conditions of Use of the Sacco link Card


a) The Sacco Link Card is neither a credit card nor a cheque guarantee card and shall not be presented as such.
b) The Sacco Link Card is for use only at Coop Bank ATMs, other Bank Visa branded ATMS and at Visa branded
merchant point of sales.
c) The Sacco/Bank reserves the right to withdraw the use of Sacco Link card transaction at any time and without prior
notice.
d) The Sacco Link Card once issued to the Cardholder is not transferable.
e) The Sacco Link Card is the property of the Sacco and the Card holder undertakes to return the card to the Sacco or
Sacco/Fosa on demand.
f) The card must not be used for any unlawful purpose, including the purchase of goods or services prohibited by local
and international law.
g) Terms and conditions for use of the Sacco Link Card apply. These terms and conditions may be amended at any
time by notice from the Sacco to the Cardholder.

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