Associate Membership Registration – AUSCA MICRO FINANCE COOPERATIVE SOCIETY LIMITED

APPLICATION FOR MEMBERSHIP OF AUSCA MICRO FINANCE

CO-OPERATIVE SOCIETY LTD.

I/we willingly accept to pay all registration fees and to be guided by the terms and conditions for my/our membership and/or provide every necessary requirement.

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Full Name: *

First

Last

Contact Phone No: *

Whatsapp No: *

Email: (If any)

Gender *

Date of birth: *

Permanent Home Address: *

Date of Application: *

Occupation: *

Next of kin: *

Address & phone number of next of kin: *

Relationship: *

Facebook I.D: ( If any )

Business Address:

Country/ State *

Business Name: (If any )

Passport: *

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NIN OR VOTERS CARD *

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Signature *

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Agreement *

I/We having formally applied for membership and have been properly educated on the rules and regulations of membership with AUSCA MICRO FINANCE COOPERATIVE SOCIETY LTD. (which include being charged fines/penalties when found wanting in the refund of advance/facilities of loan, member welfare contribution (death of member), share investment savings, special deposits, payment of commission on withdrawals and interest loan etc. do hereby willingly accept to abide by the rules and regulations (constitution/bye law) of the Cooperative Micro Finance Institution as I/We register now as a full member (s)