Baptist Sacco Welfare Application

Better Together...

Baptist Convention Headquarters (BCOK), Shauri Moyo, Off Jogoo Road, Nairobi - Kenya

0706 895 113 / 0723 842 596 | baptistsacco@gmail.com

Full Name (Principal Member)

Please enter your full name.

Membership Number

Please enter your membership number.

ID/Passport Number

Please enter your ID/Passport number.

Mobile Number

Please enter a valid phone number (10-12 digits).

Monthly Contribution (Ksh)

Minimum contribution is Ksh 260.

Amount in Words

List all beneficiaries who will receive welfare benefits

Full Name

ID/Passport No.

Relationship

Contact Number

Date of Birth

Select Payment Mode

Cash Deposit

Monthly (Ksh 260)

Annually (Ksh 3,120)

Paybill: 458386

Direct Bank (KCB ACC No: 1220915505)

Standing Order (STO)

Please select a payment mode.

Introduced by (Member's Name)

Please enter introducer's name.

Introducer Member No.

Please enter introducer's member number.

Church

Please enter your church.

Applicant Signature (Upload) Upload a clear image or scan of your signature (JPG, PNG, PDF)

Please upload your signature.

Date

I confirm that the information provided is accurate and I agree to the terms of the welfare scheme.

You must agree to the terms and conditions.