Membership

Application Form

We thank you for your interest to become a member. In order to complete your membership application online, you will need an electronic copy of your colored Passport Photo, a valid Kenyan ID/Kenyan Passport and your Signature. Make sure you have the three documents stored as copies on your computer in advance. The request to attach these documents appears at the bottom of this online application form.

Once the committee has received and approved your application, the membership and account details together with Sacco payment information are emailed to you.

Fields marked with an * are required fields.

If you wish to complete a paper application and send it via email or postal mail, please download and print the Membership Application form.

Application for Membership

The Honorary Secretary,

I hereby make application for membership and agree to confirm to the Saccos' by-laws, terms and conditions and any amendments thereof.

First Name:*
MI:(Optional)
Last Name:*
Address 1:* (No P.O. boxes)
Address 2: (Optional)
City:*
State:*
Zip Code:*
Primary Phone Number / Cell:* - -
Alternate Phone Number:
Email Address:*
Confirm Email Address:*
 

Kenya Address (Optional)

Address 1:
Address 2:
P.O. Box:
City/Town:
Phone Number:
 

Your Identification

Date of Birth:*
Type of Identification:*
(Choose One)
  Kenya Passport No:     Kenya ID No:
Passport No:*
Expiry Date:* (dd/mm/yyy)
Kenya ID No: (new version ID only)
 

Designated Next of Kin


I, the undersigned, in the event of my death whilst a member of Kenya USA Diaspora Sacco Society Ltd, hereby instruct the Society to pay all amounts due to me less debts to the Society, to the person(s) named in this section. I understand that I may alter the name of the designated Next of Kin by filling in a subsequent designated Next of Kin form, or by making the necessary changes inside my online account.

Full Name:*
Permanent Address:*
Contact No:*
Sex:
Relationship:*
Benefit Amount (%):*
* If you wish to provide information for more ‘Next of Kin’, you will be able to do so once your account has been created.
 

Upload a copy of your Signature, Passport photo & Kenyan Passport or Kenyan ID*


(Only .gif, .jpg & .pdf formats allowed)
Signature *   
Passport photo *
(2x2 inches in size. Only .gif, .jpg & .pdf formats allowed)
Identification document *
(Kenya Passport or Kenya ID. Only .gif, .jpg & .pdf formats allowed)
 

If a current Sacco Member referred you, Enter their membership Number Here:


Referrer Membership Number:  
 

Choose your security question*


Security Question:*  
Answer:*  
Favorite Fruit: *


 
* By checking the box on the left hand side of this statement, I certify the information I have provided here to be true and correct to the best of my knowledge, and that this information shall be used for purposes of membership in this Sacco.

Contact Us


United States:

1320 Roswell Rd
Suite G6
Marietta GA 30062
TEL: 1- 678-398-7728
FAX: 470-465-1066
470-465-1064
Email: info@kenyadiasporasacco.com

Sacco Office Hours:


8.00 AM - 6.00 PM: Mon - Fri
CLOSED: Sat - Sun

Standard Eastern Time Zone


Kenya Office:

Victoria Towers, Ground Floor
Kilimanjaro Avenue, Upper Hill
TEL: +254 792 746 217
Email: info@kenyadiasporasacco.com