Sample Sidebar Module

This is a sample module published to the sidebar_top position, using the -sidebar module class suffix. There is also a sidebar_bottom position below the menu.

Sample Sidebar Module

This is a sample module published to the sidebar_bottom position, using the -sidebar module class suffix. There is also a sidebar_top position below the search.
Personal Information
APPLICANT’S NOMINEE ( NEXT OF KIN)

As the nominated person to receive the monies standing to the credit of my shares and deposits account in the said Society at my death less any indebtedness owed by me to the society.


In case the nominee is a minor:

Bank Details:
 
Bank Name & Branch: ABC Bank – Westland’s Branch. Account Number: 001217001000126  Account Name: Corniche Diaspora Kenya Qatar Savings and Credit Cooperative Society Limited
 
MPESA Details:
PAYBILL NUMBER: 570414
Account Number: Your Membership Number
Uploads

*  only (jpg, doc, docx or pdf) Documents allowed
*  Upload size allowed - up to 2MB per document)

Declaration
Extra Info

Forms will ONLY be accepted the following documents are attached

a. color Passport size photos
b. Copy of Kenyan ID card / Passport
c. Next of Kin (copy of ID card)/Nominee


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