Khat Community | Registration

Two Methods of Registration

1 .Manual method

You can register manually by downloading the form registration form using the link below.

Registration Form:

After filling all the required details on the form, you can upload it in the section below

2. Online method

You can register online by filling and submitting the form below.

Online Registration Form

first name:

last name:

Other names:

phone number:

Id Number:

Gender

Male Female

Birth Date:

Marriage Status:

Physical Address:

P.o Box:

County:

Ward:

Village/Street:

Email:

Kra Pin:

Occupational Details

(To be completed by an employed applicant (salaried)).

Employer:

Employer Address:

Position Employment:

Date of Appointment:

Work Station:

Gross Monthly Income:

Payroll Number:

Business Details

(To be completed by a business applicant)

Business Name:

Nature of Business:

Business Location:

Business Address:

Approximately Monthly Income:

Other sources of Income (specify):

Monthly Contribution

Provide Monthly contribution details

Proposed Monthly Contributions:

Mode of Remmittance:

Effective Date of contribution:

Next Of Kin 1

Provide next of kin 1 details

Names:

Id No(adult):

Age(minor):

Relationship:

Other Relationship(Specify):

Phone Number:

Date Of Birth:

Percentage:

Next Of Kin 2

Provide next of kin 2 details

Names:

Id No(Adult):

Age(minor):

Relationship:

Other Relationship(Specify):

Phone Number:

Date Of Birth:

Percentage:

Referee

Names:

Phone Number:

Id Number:

Please note the following:

1:To be a full member one must have 6 ordinary shares

2:A minimum contribution of Ksh 500 monthly

Minimum entry is Ksh 200 (Two hundred shillings only) non-refundable registration fee and one share at Ksh 500 ( Five hundred shillings only) making the total minimum entry amount Ksh 700 ( Seven hundred shillings only) All payable via mpesa paybill 400222 and account number is 998664# followed by your name

I agree to terms and conditions