Membership RegistrationPefa2024-06-26T08:42:22+00:00 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3I hereby apply for membership and agree to abide and conform by the society's by-laws, rules and regulations and amendments thereof. Please complete this form in CAPITAL Letters. APPLICANT DETAILS Name *FirstMiddleLastLayoutNATIONAL ID/ PASSPORT *KRA PIN DATE OF BIRTH (DD/MM/YYYY) *Postal Address *Postal Code *Town *Physical Residence *Gender *FemaleMaleMarital Status *Email Address *Telephone No *LayoutMember introduced by; (Active member) *FirstLastM/NO. *LayoutMonthly Savings Ksh. *Date *Signature *Clear SignatureNextEMPLOYMENT DETAILS (Tick Appropriately) LayoutEMPLOYMENT DETAILSSelf-employedSalariedRetiredPhysical Location *Name of the employer *Telephone No *Postal Address *Postal code *Town *Church *Have you been a member before? *YesNoMandatory Documents A copy of your ID card 2 passport size color photos A copy of KRA pin (If available) A copy of birth certificate where the nominee is a minor (under 18 years of age) File Upload Click or drag files to this area to upload. You can upload up to 5 files. Mandatory payments Membership fee paid once Ksh. 1,000 Share capital of Ksh.10,000 Minimum monthly contribution of Ksh. 1,500 Benevolent (annual) of Ksh 1,200 PreviousNextI, the undersigned in the event of my death whilst a member of this society, hereby instruct the society to pay all the amounts due to me, less any indebtedness owed by me to the society, to the person(s) named in this section. I understand that I may alter the name(s) of the nominated next of kin by updating a new nominee(s) form. LayoutName *ID No. *Relationship *Percentage Share (%) *Physical Address *Tel No. *Name ID No. Relationship Percentage Share (%) Physical AddressTel No.Name ID No. Relationship Percentage Share (%)Physical Address Tel No. Name ID No. Relationship Percentage Share (%) Physical Address Tel No. INDEMNITY *I ACCEPT AND AGREEI ACCEPT AND AGREE TO THE TERMS AND CONDITIONS THAT GOVERN PEFA NAIROBI CENTRAL SACCO. I CONFIRM THAT THE INFORMATION THAT I HAVE PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE. BY SIGNING ON THIS FORM, I REQUEST TO OPEN AN ACCOUNT IN MY NAME(S) PROVIDED. I AGREE THAT THIS ACCOUNT SHALL BE OPERATED SOLELY TO THE DESCRETION OF THE SOCIETY AND INDEMNIFY THE SOCIETY AGAINST ANY COST INCURRED OR CLAIMS ARISING OUT OF MY ACCOUNT.ApplicantLayoutApplicant’s Name *FirstLastDate *Signature *Clear SignatureWitnessLayout (copy)Name of witness (Must be society’s member) *FirstLastID No. *Signature *Clear SignatureM/no (Witness) *Pefa Nairobi Central Sacco Save regularly, borrow wisely…. PreviousSubmit
