Chuna Sacco M-Pesa Application/Pin Reset Form

*Read this terms and conditions carefully and in case there is any area you need clarification please contact the office.
Section A: Terms And Conditions
  1. Only Mobile Telephone number duly registered in the Applicants name shall be accepted.
  2. Registration by proxy not accepted.
  3. Mobile Telephone numbers not registered for M-pesa shall not be accepted.
  4. The society shall register only one Mobile Telephone number per member
  5. The society is not responsible for security of your secret pin and shall only regenerate another one upon a request in the duly authorized CLOUDPESA PIN REGENERATION REQUEST FORM. Therefore, exercise due care and attention to ensure safety of the pin.
  6. Normal M-pesa charges including excise duty tax at the prescribed rates apply.
  7. Any suspected fraudulent activities with registered Mobile Telephone number shall lead to automatic deregistration and subsequent forwarding of information to the Kenya Police and relevant Mobile Telephone Subscriber Company.
  8. Incomplete application form shall not be accepted.
  9. The line shall be registered to transact only with Ordinary account in case of cash withdrawals. However, cash depositing or loan repayments other other accounts shall be automatic.
  10. By signing this form you aggree to hold CHUNA SACCO, its officer, employees and agents harmless against all claims and proceedings whatsoever and howsoever (wheather actual or threatened) arising out of its performance of its obligations under these terms and conditions.
Section B: Application Details(To Be Filled By The Applicant)
FOSA ORDINARY
A/C NO
MOBILE TEL
NUMBER

I declare that the above information I have given is true and accurate to my knowledge and hereby
exempt the Society from any legal consequences which might arise for usingthe same and later turns
out as not accurate or true.

Section B: For Official Use

CHECKED BY:..........................................SIGNATURE : ............................ DATE : .....................................

CHECKED BY:..........................................SIGNATURE : ............................ DATE : .....................................

CHECKED BY:..........................................SIGNATURE : ............................ DATE : .....................................