Become A Member

Date of Application (required)

Date of Birth (required)

Address of Applicant (required)

Telephone Number (required)

Occupation of Applicant (required)

Beneficiary (required)

Your Message

I the undersigned hereby apply for membership in the above Society. I also agree to abide by the bye-laws of the said Society and any laws associated therewith.

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I the undersigned hereby apply for ______________words___________firurees shares ant $5.00 per share and agree to pay the entrance fee of twenty five dollars ($25).

Attached is a photocopy of my National Identification Card.

Instructions to upload your ID image.
Click on the choose button. Then navigate to the folder and select the desired image. Then double click to upload.

Witness Signature Sign below.