Membership Application
Acumen Housing Co-operative Society Limited
Ongata Rongai – Magadi Road – Tyme Arcade, 1st Floor Office 104, P.O. Box 1325 – 00200 Nairobi.
I
Declaration
I do hereby make an application for membership and agree to abide by the society’s by-laws and any subsequent amendments thereof.
I confirm that I agree to the society’s by-laws and membership terms including payment of 1,000 registration fee and 20,000 share capital
1
Personal Information
Surname
Other Names
Date of Birth
ID Number
Occupation
Telephone
Postal Address
Code
Physical Address
Plot Number
2
Next of Kin
Surname
Other Names
ID Number
Telephone
Postal Address
Relationship to Member
3
Applicant Confirmation
Applicant Signature Name
Date
II
Director / Manager / Employer
Director / Manager Name
Company / Employer Name
P.O. Box
Employer Phone Number
Submit Membership Application
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