Chuna Sacco | New application

Personal details

Title

Identification document type

Identification document number

Surname Will be fetched using the id document no.

First name Will be fetched using the id document no.

Last name Will be fetched using the id document no.

Sex

Email

Primary phone (254)

Secondary phone (254)

KRA pin

Date of birth

Member class

Employer

Terms of employment

Payroll number

Department

Monthly contribution

Postal address

Box

Code

Town

Physical address

County

Town

Estate

House number

Name of public institution near you

List of beneficiaries

A beneficiary is the individual(s) appointed to benefit from the estate in case of a person's demise while still a CHUNA SACCO member.

List them and the percentages (Mandatory). Must total to 100.

Identification document type

Identification document number

Surname Will be fetched using the id document no.

First name Will be fetched using the id document no.

Last name Will be fetched using the id document no.

Date of birth

Sex

Relationship

Allocation

Email

Primary phone (254)

Secondary phone (254)

Location

Name of chief

Sub location

Name of assistant chief

List of dependants

Only one spouse, biological and legally adopted children

Identification document type

Identification document number

Surname Will be fetched using the id document no.

First name Will be fetched using the id document no.

Last name Will be fetched using the id document no.

Sex

Relationship

Email

Primary phone (254)

Secondary phone (254)

Irrevocable instructions

I, hereby authorize CHUNA SACCO to deduct from my salary on a monthly basis Ksh being monthly contributions towards my membership. I also acknowledge that this instruction shall/can only be terminated with knowledge and written consent of CHUNA sacco.
I also do hereby certify and confirm that the information I have provided herein is true and correct to the best of my knowledge and in case of any changes I will notify the SACCO in writing and if any explanation is sought by CHUNA SACCO from my end, I shall provide such information within fourteen days in writing from the dat of receipt of such request.

Signature

Date

Membership referral

This section is to be filled by a current CHUNA SACCO member

Recruited by:

Member No

Name

Date

Documents

Please upload the following:

National ID/Passport
KRA PIN
Current payslip
One passport photo size
Appointment letter

File input

Fee payment

Mpesa payment instructions:

Provide amount to pay. Minimum KES 200 for students and KES 500 for other members
Provide a phone number that will be used to make the mpesa payment
Click on the Make mpesa payment button to start the process
Enter your mpesa pin to complete the process
On successful payment, enter the mpesa receipt number in the Mpesa receipt number field

Amount

Mpesa number used to pay

Mpesa receipt number

CHUNA SACCO MEMBERSHIP APPLICATION

Fields marked are mandatory

Personal details

List of beneficiaries

List of dependants

Irrevocable instructions

Membership referral

Documents

Fee payment