FIRST-AID-FUNDS MULTIPURPOSE CO-OPERATIVE SOCIETY LTD.

Share Subscription & Membership Registration

Profile
Next of Kin
Shares
Finish

Search Existing Member

Cooperative File Number *

Enter only the 6-digit number. Format: FAFCOOP/000001

Member Photo *

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JPG/PNG • Max 25KB

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Signature *

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JPG/PNG • Max 25KB

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Personal Information

Full Name (Surname first) *

Gender *

Marital Status *

State of Origin *

Local Government Area *

Date of Birth *

Place of Birth *

Contact Information

Residential Address *

Email Address *

Phone Number *

Office Name *

Office Address *

IMPORTANT NOTICE

Nominee (Next of Kin) Information Required

To complete your share subscription, you are required to provide one nominee (next of kin). This information will be used for official records and benefit administration where necessary.

Nominee's Information

Nominee's Photo *

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JPG/PNG • Max 25KB

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Full Name *

Relationship *

Address *

Phone Number

Share Subscription Details

Number of Shares * Minimum: 1,000 shares | Maximum: 200,000 shares

Unit Price

Total Amount

Payment Method *

Bank Account Details

This account will be used for dividend payment and share transactions.

Bank Name *

Account Number *

Account Name * This should match the name on your bank account

I agree to the terms and conditions of share subscription. I understand that shares are subject to the cooperative's bylaws and dividend policies.

Review Your Details

Please confirm that all information is correct before submission.

Profile Photos

Member Photo *

Signature *

Next of Kin Photo *

Profile

Full Name:

Gender:

Marital Status:

State of Origin:

Local Government:

Date of Birth:

Place of Birth:

Residential Address:

Email Address:

Phone Number:

Office Name:

Office Address:

Bank Details

Bank Name:

Account Number:

Account Name:

Share Subscription

Number of Shares:

Unit Price:

Total Amount:

Payment Method: