UNIQUE FRIENDS FOREVER(UFF)

SAVE FOR FUTURE

Keijengye, Kitembe Nyarutuntu, Ntungamo District
Tel: 0770861985,0770506520

APPLICATION FOR MEMBERSHIP

Please complete in BLOCK LETTERS. This form is complete when attached: One recent
colored passport Photograph, Copy of National ID/Valid Uganda Passport/Alien ID
I hereby make an application for membership and agree to conform to UFF By-Laws and any
amendments thereof.
SECTION A: APPLICATION STATUS (TICK APPROPRIATELY.)

STATUS NEW MEMBER REJOINING

TICK
NUMBER OF SHARE MORE SHARES
ONE SHARE
TICK

SECTION B: APPLICANT’S BIO-DATA

Mr./ Ms. Others (Specify) Gender: Male Female Other

Name (as per National ID):
NIN Date of Birth: D D M M Y Y Y Y

Country of Residence: Marital Status:

County/Province/City/State: Postal Address/Code:
Primary Mobile Number: Other Number:
Mobile No: Email:

SECTION C: OCCUPATION DETAILS

Employed: Self Employed:

Employer: Business Type/Name:
Employers Address: Business Address/Location:
Gross Monthly Income: Gross Monthly Income:
Payroll No.:

SECTION D: OTHER SOURCES OF INCOME

Pension Income: Others (Please Specify):

SECTION E: REMITTANCES

Proposed Monthly Contributions: (UGX.) Amount in Words

Proposed mode of remittances: Check Off Direct Debit Mobile Money Others (Specify)
 UNIQUE FRIENDS FOREVER(UFF)
SAVE FOR FUTURE

Keijengye, Kitembe Nyarutuntu, Ntungamo District

Tel: 0770861985,0770506520

APPLICATION FOR MEMBERSHIP

SECTION F: INTRODUCED BY

Please specify on how you came to know/ learn about the Unique Friends Forever:

UFF Sacco Staff Name: Staff No.

Existing Member Name: Member No.
Others (Please Specify):

SECTION G: NOMINEE/NEXT OF KIN DETAILS

I the undersigned, upon my demise whilst a member of the Society, hereby instruct the Society to pay all amounts due to me less any debts
to the Society, to the person (s) named in this section. I understand that I may alter the name of nominated next of kin by filling a
subsequent nominee card.
NAME NATIONAL DOB RELATIONSHI TELEPHONE PERCENTA
ID/ P NO. GE (%)
PASSPORT ASSIGNED
NO.

Please provide a guardian if the nominee (s) is/are below 18years

Name National ID Mobile No,

SECTION H: SPECIMEN SIGNATURE AND DECLARATION

I declare that all the particulars given by me are true. I confirm that I have read the
terms and conditions governing the opening, operating and closure of membership and related e-channels of Unique Friends forever and agree
to be bound by them. I further unequivocally consent that my personal data, collected in connection with such terms and conditions, may from
time to time be used and disclosed for such lawful purposes and to such persons as may be in accordance with the Unique friends forever
Sacco’s prevailing Privacy Policy, and the relevant laws, as amended from time to time. For detailed
terms and Condition

Name……………………………………………………………signature………………………………Date…………………………

SECTTION J: MEMBERSHIP QUALIFICATION

1. Not with standing provisions of this constitution, to qualify for membership
a) one should be a youth and a health worker though h with time other professionals will be allowed to join.
b) Should be willing to subscribe and pay membership fees to the association
c) Should be willing to be active and participative in all association activities
d) Should be a person of sound mind
2. Full membership shall be open to every member who will pay membership fee of UGX 60,000 0nly for every share
irrespective of their religion, political affiliation, race, sex or social economic standing.
3. Every member is allowed to have at least one (1) share or more if is willing to buy them in the association where by a member
will pay UGX 60,000 to buy another share.
4. Every member will register his/her next of kin who will be subjected to everything concerning the member on his/her behalf
for example In article 11: clause a (i).
5. Every member will present his national ID or introductory letter from C/P (If no ID) to the association for security purposes.
6. New entrants will be required to pay membership fee of UGX 80.000 for every share

NAME…………………………………………………...……. SIGN…………………………DATE…………….
 UNIQUE FRIENDS FOREVER(UFF)
SAVE FOR FUTURE
Keijengye, Kitembe Nyarutuntu, Ntungamo District
Tel: 0770861985,0770506520

SECTION K : MEMBERSHIP APPLICATION CHECKLIST

Copy of NIN ID Card

Two passport size Photographs (colored) Copy of

Current Pay slip

LC1 Introductory letter

NB: Nominee” Shall mean a person or entity t h a t is requested or named to act for a Member for the purpose of
being paid the value o f the deceased member’s deposits, interest, dividend and payments from Risk management or
any approved insuring program.
.
SECTION L : FOR OFFICIAL USE ONLY

We have checked and confirmed that all the information given above is correct:
Received by
Name: .............................................................................. Designation: ……………..................
Signature: ........................................................................ Date: ......................................

Admin Officer
Date of Admission: ............................................. Membership Number Allocated: ...............................................

Name: ..................................................................... Designation: .....................................................................

Signature: ................................................................ Date: ............................................................................

Approving Officer
Name: .......................................................................... Designation: ........................................ Signature: ...........