Scribd
Upload
15K views1 page

Withdrawal Form: Re: Application To Withdraw From Harambee Sacco Society Limited. Part I: To Be Filled by The Applicant

This document is a withdrawal form for Harambee Sacco Society Limited. It contains sections for the applicant's information, a declaration by the member, and an endorsement from the member's branch. The applicant provides their name, membership number, reason for withdrawal, and contact details. They declare that they have no outstanding loans or guarantees and attach required documents. The branch chairman, treasurer, and secretary must also sign to confirm the member's branch.

Uploaded by

Idris
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
15K views1 page

Withdrawal Form: Re: Application To Withdraw From Harambee Sacco Society Limited. Part I: To Be Filled by The Applicant

This document is a withdrawal form for Harambee Sacco Society Limited. It contains sections for the applicant's information, a declaration by the member, and an endorsement from the member's branch. The applicant provides their name, membership number, reason for withdrawal, and contact details. They declare that they have no outstanding loans or guarantees and attach required documents. The branch chairman, treasurer, and secretary must also sign to confirm the member's branch.

Uploaded by

Idris
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

HARAMBEE

SACCO

P.O. Box 47815-00100, NAIROBI, TEL. No. 343822 (Pilot),


0700-549854, 0736-581749, FAX: +254 (020)2216326
Email: [email protected]
Website: www.harambeesacco.com

Empowerment
Development
Security

WITHDRAWAL FORM
Address:

Date:
The Chief Executive Officer,
Harambee Sacco Society Limited,
P.O. Box 47815 – 00100,
NAIROBI.
RE: APPLICATION TO WITHDRAW FROM HARAMBEE SACCO SOCIETY LIMITED.
(Please attach copies of ID Card, last pay-slip and retirement letter for retired officers)

PART I: TO BE FILLED BY THE APPLICANT


I am giving Harambee Sacco Society Limited 60 days notice to withdraw my shares from the
Society with effect from
(a) Reason for withdrawal (state briefly)

(b) Member’s current particulars


Full Names P/No.
Ministry ID/No.
Membership No. Signature
Telephone No.

PART II: DECLARATION BY THE MEMBER


I hereby do declare:
i) That I have not guaranteed any members’ loan(s) whose balance(s) to-date is more than his / her shares.
ii) That I am not a defaulter to any previous loan(s) granted to me by the society
iii) That I have attached the necessary documents required above for the purpose of expediting my refund
and that the signature appearing in Part I (b) above is my genuine signature
iv) That I will not blame the Society for delay in processing my refund if the information given to the Society
by me is false.
PART III: BRANCH CHAIRMAN / SECRETARY / TREASURER ENDORSEMENT
We do hereby confirm that the above applicant comes from our branch
Branch Chairman (Name) Signature M/No.
Branch Treasurer (Name) Signature M/No.
Branch Secretary (Name) Signature M/No.

You might also like