Bakery Sacco Limited
Member`s Questionnaire
ID Number:
Phone Number:
First Name:
Second Name:
Surname Name:
Sacco membership number:
Date of Joining Sacco
Select Work Status
Permanent
Contract
Casual
Current monthly savings:
Are you ok with attached statements:
Yes
No
Give reasons, Attach any neccessary documents, quote balance and savings:
Have you ever previously collected a cheque and distibuted money on behalf of other sacco members:
Yes
No
If YES
Kindly indicate year you were given the cheque, name of sacco memeber and amount:
Any other information / Comment with regard to the statement that you would wish to state:
Submit
Clear
