Home | Wanunuzi Sacco

Applicants Details

First Name

Middle Name

Last Name

Gender

Date of Birth

Nationality

Marital Status

ID No.

KRA PIN No.

Phone No

Email Address

Home Address/Location

District

Postal Code

Town

KISM Membership No

Professional Body (if any)

1st - Next Of Kin Details:

First Name

Middle Name

Last Name

Date of Birth

ID/Birth Cert Number

Mobile Number

Email Address

Relationship

Proposed (%) Allocation

Attach Next of Kin ID/Birth Cert

Click here to choose file to upload - (PDF Format only)

Add Another Next of Kin (Second)

Click to add another (Second) Next of Kin

First Name

Middle Name

Last Name

Date of Birth

ID Number

Mobile Number

Email Address

Relationship

Proposed (%) Allocation

Attach (Second) Next of Kin ID/Birth Cert

Click here to choose file to upload - (PDF Format only)

Add Another Next of Kin (Third)

Click to add another (Third) Next of Kin

First Name

Middle Name

Last Name

Date of Birth

ID Number

Mobile Number

Email Address

Relationship

Proposed (%) Allocation

Attach (Third) Next of Kin ID/Birth Cert

Click here to choose file to upload - (PDF Format only)

Specify Source of Income

Employment

Business

Employment Details - (For salaried applicants)

Name of Employer

Current Position Held

Date of Appointment

Gross Monthly Income

Payroll No.

Employer Phone No.

Employer Office Location

Postal Address

Town

Business Details - (For business applicants)

Business Name

Business Location

Nature of Business

Business Postal Address

Approximate Monthly Income

Business KRA PIN

Proposed Monthly Contributions

Amount

Mode of Remittance

Effective Start Date

Bank Details:

Bank Name

Bank Branch

Account No.

Referee:

Full Name

PIN No

Member No.

Attach ID (as PDF Document)

Click here to choose file to upload

Attach Passport Size Photo

Click here to choose file to upload

Write Your Full Name (as Signature)

Attach Signature (Image)

Click here to choose file to upload

Registration Fee Payment

Pay registration fee of Ksh.1, 200/-

Pay through M-PESA by using the following process:
1. Open M-PESA menu on your phone
2. LIPA NA M-PESA
3. PAY BILL
4. Enter BUSINESS NUMBER 400222
5. ACCOUNT NUMBER:1665490#FIRST AND SURNAME (without spacing)
EXAMPLE: 1665490#ERICKSMITH
6. AMOUNT
7. M-PESA PIN

Note: Your registration as a member will only be processed after the above stated payment fee has been received along with this form submission.

Wanunuzi Sacco Member Registration

Registration Fee Payment