West Bay, Zone 66, Street 840, Villa no. 131


P.O. Box 23091 Doha, Qatar


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)

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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Quote

Peace and social well-being are not only relevant to cooperatives but cooperatives are relevant to the peace making process in communities and societies throughout the world’ - Hillary Odido 2008

Corniche Diaspora Sacco

West Bay, Zone 66, Street 840, Villa no. 131

P.O. Box 23091 Doha, Qatar

by e-mail: info@cornichediasporasacco.com

or fill in the form on our contact page

Our By-laws