New Member Form

Personal Details:
/ /
Male Female
Married Single Other
Contact Details:
Employer Details:
Existing Society:
Tick the Appropriate Box:
I am not a member of another Savings & Loan Society
I am a member of another Savings & Loan Society.

I hereby apply to become a member of the NAMBAWAN Savings & Loan Society Limited.

I agree to pay all charges levied by the Rules of the Society and by any amendments thereof registered in accordance with the Savings and Loans Societies (Amendment Act 1995).

I agree to contribute no lees than K20.00 per payment, to NAMBAWAN Savings & Loan Society.
I authorize the deduction of K (note: Minimum amount of K20.00) from my salary, to be paid weekly/fortnightly/monthly to the NAMBAWAN Savings & Loan Society on my behalf.
Account Type   Amount
General Savings K
Christmas Club K
School Fee Club K
Total K
Nomination of Beneficiaries:

In the Event of my death, the new proceeds of my account with Nambawan Savings & Loan Society should be dispersed according to my most recent nominations as follows:
Sel Surname Given Names Address Relationship Percentage
Phone: (675) 309 5311
Designed by Sterling Systems