Boresha SACCO – Individual Member Update Form

Individual Member Update Form

Use this form to update your personal, employment or SACCO account details on file with Boresha SACCO Society Ltd. Please fill in CAPITAL LETTERS and attach the required documents. Use the Next / Back buttons to navigate between sections.

Documents to attach before submitting:

Copy of your National ID
Copy of your KRA PIN certificate

Title

Name (as it appears on National ID)

ID/Passport No

ID Serial No

Date of Birth

Gender

Male Female Other

Mobile No

KRA PIN No

Country

Occupation

E-Mail

My Present Address

County

Sub-County

Ward

Village/Estate

My Home Address

County

Sub-County

Ward

Village/Estate

Contact Person

Full Name

ID No.

Phone No.

Relationship

Town/Village/Estate

Employment Details

Are you currently employed?

Employed Not Employed

Employer

Work Station Address

Payroll Number

Workstation

Designation

SACCO Details

Member Number

Account Number

Other Account(s) Held at the SACCO (Savings, Mzinga, Holiday etc.)

#	Account Name	Account Type	Account Number	Branch
1
2
3

Group Membership

Are you a member of a group?

No Yes

Signatory to Other Accounts

Are you a signatory to other accounts?

No Yes

Tax Exemption (attach copy of exemption certificate — optional)

Certificate No

Commencement Date

Expiry Date

Tax Exemption Certificate Copy

JPG, PNG or PDF · Max 5 MB · Only if applicable

Document Uploads

National ID Card Copy

JPG, PNG or PDF · Max 5 MB

KRA PIN Certificate

JPG, PNG or PDF · Max 5 MB

Passport-size Photo (optional)

JPG or PNG · Max 5 MB

NB: Members are also required to fill a separate Next of Kin/Beneficiaries Form.

Terms and Conditions

Account Opening

Pay account opening fees Ksh.500/= which shall be the minimum account balance.
Duly filled form with all the requisite supporting documents attached e.g. Next of Kin Nominee form.
Upon submission of the duly completed form with all the required attachments, a FOSA account number shall be issued.
In case of a joint account and one of the account holders dies, the money in the account will revert to the surviving account holder(s).
Any discrepancy in the statement of account should be reported in confidence to the CEO, Boresha DT SACCO Society Limited, Head Office within 14 days after receiving the statement.
The SACCO shall determine from time to time the rate of interest payable on the account, subject to prevailing rates in the market.

Membership

Pay Membership entrance fee of Ksh.500 or Renewal of Ksh.1000.
Meet all the membership qualifications, including share capital and equity shares contributions as prescribed in the policy and bylaws.
Access all legitimate information relating to the SACCO, subject to his/her shareholding.
Attend and actively participate in members meetings and voting, where each member has one vote irrespective of shareholding.
Participate in sharing SACCO total surplus.
Be faithful and honest in all dealings with the Society.
Refrain from engaging in any business that is in competition with the SACCO.
Protect the image of the society and avoid unnecessary incitement or careless talk that can injure the reputation of the SACCO.
Inform the SACCO of any change of address or contact whenever it occurs.
Pay all debt due to the SACCO without fail, including due capital and equity shares as prescribed per policy.
Comply with the By-laws, the Co-operative Act, the Sacco Rules, Regulations and resolutions of ADM.
Allow the SACCO to collect, process and store my personal information as per the data protection guideline.
Abide by all SACCO terms and conditions stated above as an active member of the SACCO.

I confirm the above information to be true, correct and accurate to the best of my knowledge, and I agree to abide by all the above terms and conditions. *

Declaration

ID

Date

Sign

Draw your signature above using your mouse or finger

You will receive a reference number upon successful submission.