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Next-of-Kin Nominee Form Template

The document is a Next-of-Kin/Nominee form for a member to nominate an individual to receive their savings and shares in case of death or permanent incapacity. It requires the member's and nominee's personal details, including names, relationships, and contact information. The form must be signed by the member and witnessed by the chairperson and secretary.

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sammycollinsk47
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296 views1 page

Next-of-Kin Nominee Form Template

The document is a Next-of-Kin/Nominee form for a member to nominate an individual to receive their savings and shares in case of death or permanent incapacity. It requires the member's and nominee's personal details, including names, relationships, and contact information. The form must be signed by the member and witnessed by the chairperson and secretary.

Uploaded by

sammycollinsk47
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

NEXT-OF-KIN / NOMINEE FORM

Member Full Name: ____________________________

Member Number: ______________________________

Phone Number: _______________________________

Next of Kin / Nominee Details

Full Name: _________________________________

Relationship: ______________________________

Phone Number: ______________________________

ID Number: _________________________________

Declaration

I hereby nominate the above person as my next of kin to receive my savings and shares in the
event of death or permanent incapacity, subject to the Chama Constitution.

Member Signature: __________________________ Date: __________

Witnessed By:

Chairperson: ______________________________ Signature: __________

Secretary: _______________________________ Signature: __________

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