ADOM | v2025

Register as a Member

Please fill in the form below to apply for SACCO membership. Ensure all details are accurate.

1. Personal Details

First Name *

Last Name *

Date of Birth *

National ID *

KRA PIN No. *

Marital Status

Gender

2. Additional Information

Occupation

Number of Dependents

Preferred Monthly Contribution (in Ksh) *

Reason for Joining the SACCO

3. Contact Details

Email Address *

Phone Number *

Location *

4. Next of Kin Details

You may add up to 3 next of kin.

Name

Relationship

Phone

ID No / Birth Cert No

Share (%)

Name

Relationship

Phone

ID No / Birth Cert No

Share (%)

Name

Relationship

Phone

ID No / Birth Cert No

Share (%)

5. File Uploads

Passport Photo * JPEG/JPG or PDF only, max size: 300KB

Signature * JPEG/JPG or PDF only, max size: 300KB

ID Copy (Front) * JPEG/JPG or PDF only, max size: 300KB

ID Copy (Back) * JPEG/JPG or PDF only, max size: 300KB

Payslips or Bank Statements * JPEG/JPG or PDF only, max size: 300KB

6. Your Bank Details

Bank Name *

Bank Branch *

Bank Account Number *

7. Complete Your Registration

To finalize your SACCO membership registration, kindly send the registration fee using the following details:

Paybill Number:
Account Number: REG[YOUR NATIONAL ID]
Amount: Ksh 1000

Replace [YOUR NATIONAL ID] with your actual National ID number. Example: If your ID is 12345678, use REG12345678 as the account number.

I certify that the information provided is accurate to the best of my knowledge. *

I agree to the terms and conditions. *

New Member Registration / Application

Register as a Member

1. Personal Details

2. Additional Information

3. Contact Details

4. Next of Kin Details

5. File Uploads

6. Your Bank Details

7. Complete Your Registration