Membership Application Form

Careers

Contact Information

* Write Organization Name

* Organization Address

* Organization Website

* Organization Email Address

* Name of Contact Person

First

Last

* Position of Contact person

Organisation Information

* a) Briefly describe your organization activities, current stand of cooperatives in your country, how credit unions are formed.

* b) List the services offered to the credit unions by your organisation.

Financial Status

Financial Status as at January 1st 2016

* Total number of SACCOs in the country as at Jan 1 2016

* Total number of SACCOs affiliated to your organization as at Jan 1 2016

* Total Asset as Jan 1 2016

* Total Savings as at Jan 1 2015

* Total Loans as at Jan 1 2015

* Total Capital as at Jan 1 2015

* Total Shares as at Jan 1 2015

Financial Status as at January 1st 2017

* Total number of SACCOs in the country as at Jan 1 2017

* Total number of SACCOs affiliated to your organization as at Jan 1 2017

* Total Asset as Jan 1 2017

* Total Savings as at Jan 1 2016

* Total Loans as at Jan 1 2016

* Total Capital as at Jan 1 2016

* Total Shares as at Jan 1 2016

Membership Status

* a) Type of membership applied for; regular or associate?

* b) How many credit unions are affiliated to your organisation?

* c) How many members do the affiliated credit unions serve?

* d) Why are you interested in ACCOSCA membership?

Enclosures to accompany application

* Country’s Law/decree under which the organization is registered