Growing Trust Coop - Membership & Mandate Forms

I hereby apply for membership in GROWING TRUST (UYO) MULTI-PURPOSE COOPERATIVE SOCIETY LIMITED

PASSPORT PHOTO

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PERSONAL INFORMATION

1. Surname *

Other Names *

Marital Status

Gender *

Home Address *

Phone Number *

Email

Employer *

Employer's Address

Department/Unit *

Staff ID No. *

Year of Retirement

Bank (Salary) *

Account Number *

10. I agree to make a minimum deposit of (₦) Plus, Three Hundred Naira (₦300) per month as my thrift savings and Dues.

11. If my application is accepted, I agree to pay the Entrance fee of ₦2,000 and share capital of (Minimum of 10,000 Units. Each share is ₦3.00 per unit → ₦30,000 min).

12. I agree to abide by the Bye-Laws of GROWING TRUST (UYO) MULTI-PURPOSE COOPERATIVE SOCIETY LTD.

NEXT OF KIN

Name *

Relationship *

Address *

Phone Number *

ATTESTATION

I hereby testify that the information provided above are correct.

Signature: *

Date:

Please Attach Copies of the following:

Valid National ID *

Staff ID *

Letter of First Appointment

Letter of Last Promotion

Audit/Retirement Certificate

Passport of Next-of-Kin

Current Payslip

SALARY DEDUCTION / DIRECT DEBIT MANDATE

To be completed by member & submitted alongside membership form

I, the undersigned, having applied for membership in GROWING TRUST (UYO) MULTIPURPOSE COOPERATIVE SOCIETY LTD, do hereby irrevocably authorize my employer and/or my bank to deduct monthly contributions as specified below and remit same to the Cooperative's designated account. This mandate shall remain in effect until my membership ceases or upon written revocation accepted by the Society.

MEMBER DETAILS

Full Name *

Proposed Membership No.

Employer Name

Staff ID *

Bank Name (Salary Account) *

Account Number *

MONTHLY DEDUCTION AUTHORIZATION

I authorize the sum of ₦ (in words: ) to be deducted from my salary/bank account every month, comprising Thrift savings and Dues.

Effective Date of First Deduction

Cooperative Contribution Code

MEMBER'S SIGNATURE *

Date:

This mandate forms an integral part of my membership application. I confirm that all information is accurate.

Security Check: What is 7 + 4? *