WELCOME TO Ports SACCO

Member Registration

Join our growing community of members and unlock financial opportunities that will transform your future

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PERSONAL INFORMATION

Title

First Name *

Last Name *

Other Name

Date of Birth *

Gender *

Email Address *

KRA PIN Number

ID Type *

ID Number *

Phone Number *

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Marital Status *

Country *

Nationality *

City/Town *

Postal/ZIP Code

County *

Sub-County *

Location/Ward

Current Physical address *

Occupation *

Postal Address *

EMPLOYMENT DETAILS

Employer

Current Station/Location

Designation

Payroll Number (if applicable)

Nature of Business (if self-employed)

Business Location (if self-employed)

CONTRIBUTION DETAILS

Mode of Payment *

First Date of Contribution *

Monthly Deposits Contribution (KES) *

Minimum monthly contribution: KES 1,500

MOBILE BANKING SERVICES

Would you like to be registered for Mobile Banking Services? *

Yes No

📱 Mobile banking allows you to check balances, apply for loans, and make transactions from your phone.

RECRUITER INFORMATION

Introduced by (Name) (Optional)

Introducer's Phone (Optional)

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Enter 9 digits starting with 7 or 1

Introducer's ID/Passport Number (Optional)

The ID or Passport number of the person who introduced you

NOMINEES (BENEFICIARIES)

ℹ️ Please provide details of your nominees who will benefit from your SACCO contributions in case of your demise.

1 Nominee 1 *

Full Name *

Relationship *

ID/Passport Number *

Phone Number *

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Date of Birth * If nominee is under 18, ID & Phone are optional; guardian details are required

Email Address

Allocation Percentage *

Total allocation must equal 100%

Residential Address *

👤 Guardian Details * (Required for nominees under 18 years)

Guardian Full Name *

Relationship to Nominee *

Guardian ID/Passport Number *

Guardian KRA PIN

Guardian Phone Number *

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Guardian Email Address

Guardian Residential Address *

📊 Total Allocation: 100% ⚠️ Must equal 100%

DEPENDANTS

Do you have dependants? *

Yes No

ℹ️ Please provide details of your dependants (people who rely on you financially).

1 Dependant 1 *

Full Name *

Relationship *

ID/Passport Number *

Phone Number *

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Email Address

Date of Birth * ID and Phone are optional for dependants under 18

Residential Address *

BANK ACCOUNT DETAILS

ℹ️ Please provide your bank account details for withdrawals and direct deposits.

Bank Name *

Branch Name *

Account Number *

Account Name * This should match your ID/Passport name

WITNESSES

ℹ️ Please provide details of two witnesses who can verify your application. Witnesses should be SACCO members or reputable persons known to you.

1 Witness 1 *

Full Name *

ID/Passport Number *

Phone Number *

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Email Address

Occupation *

SACCO Member Number (if applicable)

Residential Address *

Witness Signature

✍️ Digital signature will be captured upon final submission

2 Witness 2 *

Full Name *

ID/Passport Number *

Phone Number *

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Email Address

Occupation *

SACCO Member Number (if applicable)

Residential Address *

Witness Signature

✍️ Digital signature will be captured upon final submission

Witness Declaration

We, the undersigned witnesses, hereby confirm that we know the applicant and that the information provided is true to the best of our knowledge. We witness this application voluntarily.

REQUIRED DOCUMENTS

📎 Required Documents to Accompany Membership Application Form:

One (1) recent coloured passport photograph
Copy of national ID card/passport
Copy of KRA PIN certificate
Evidence of bank account (cancelled cheque, bank statement, or debit card)

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Passport Photograph *

Upload one (1) recent coloured passport photograph

📄 Formats: JPG, PNG • 🗂️ Max size: 5MB

National ID/Passport Document *

Upload your National ID or Passport document

📄 Formats: JPG, PNG • 🗂️ Max size: 5MB

KRA PIN Certificate *

Upload copy of your KRA PIN certificate

📄 Formats: JPG, PNG • 🗂️ Max size: 5MB

Signature *

Upload a photo or scan of your signature

📄 Formats: JPG, PNG • 🗂️ Max size: 5MB

* I agree to the terms and conditions

WELCOME TO Ports SACCO

Member Registration

💳 Payment Options

📱 M-Pesa Payment (Coming Soon)

⏭️ Pay Later Option

🏠 Billing Address Required

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PERSONAL INFORMATION

👫 Spouse Information

EMPLOYMENT DETAILS

CONTRIBUTION DETAILS

MOBILE BANKING SERVICES

RECRUITER INFORMATION

NOMINEES (BENEFICIARIES)

1 Nominee 1 *

👤 Guardian Details * (Required for nominees under 18 years)

DEPENDANTS

1 Dependant 1 *

BANK ACCOUNT DETAILS

WITNESSES

1 Witness 1 *

2 Witness 2 *

Witness Declaration

REQUIRED DOCUMENTS

Document Upload Progress

Capture Document

Membership Terms and Conditions

A. MEMBERSHIP TERMS

B. MOBILE BANKING SERVICES TERMS

Important Notice:

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