COMHIGH SACCO LTD
Empower, Transform, Inspire
NOMINATION OF BENEFICIARY/BENEFICIARIES FORM
The Chairman
P.O BOX 54999 – 00200
NAIROBI.

(PLEASE ATTACH A COPY OF BENEFICIARY ID CARD /BIRTH CERTIFICATE FOR BENEFICIARIES UNDER 18 YEARS)

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Beneficiaries Form

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Member Details

Member Details

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First Name

Middle Name

Last Name

ID Number

Membership No:

I hereby nominate the following individual(s) as my beneficiaries and authorize Comhigh Co-operative Savings & Credit Society Limited to distribute any amounts due to me from the Society, in the event of my death while still a member, to the named beneficiaries in the proportions indicated below.

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DETAILS OF BENEFICIARIES

DETAILS OF BENEFICIARIES

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Beneficiary 1

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First Name

Middle Name

Last Name

Relationship to the member

Address

ID Number

Phone/Mobile

Percentage of Benefits

(PLEASE ATTACH A COPY OF BENEFICIARY ID CARD /BIRTH CERTIFICATE FOR BENEFICIARY UNDER 18 YEARS )

Choose File

Beneficiary 2

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First Name

Middle Name

Last Name

Relationship to the member

Address

ID Number

Phone/Mobile

Percentage of Benefits

(PLEASE ATTACH A COPY OF BENEFICIARY ID CARD /BIRTH CERTIFICATE FOR BENEFICIARY UNDER 18 YEARS )

Choose File

Beneficiary 3

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First Name

Middle Name

Last Name

Relationship to the member

Address

ID Number

Phone/Mobile

Percentage of Benefits

(PLEASE ATTACH A COPY OF BENEFICIARY ID CARD /BIRTH CERTIFICATE FOR BENEFICIARY UNDER 18 YEARS )

Choose File

Beneficiary 4

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First Name

Middle Name

Last Name

Relationship to the member

ID Number

Phone/Mobile

Percentage of Benefits

(PLEASE ATTACH A COPY OF BENEFICIARY ID CARD /BIRTH CERTIFICATE FOR BENEFICIARY UNDER 18 YEARS )

Choose File

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