Fixed Deposit Rates (Member)

FIXED AND TERM DEPOSIT APPLICATION FORM (MEMBER)

THE KENYA BANKERS FIXED AND TERM DEPOSIT APPLICATION FORM

SECTION A :

PARTICULARS OF CUSTOMER

Client Name

Mobile Number

Member Number

FOSA Account Number

Email Address

Select

Place on term

Fixed

Numeric Field

Deposit the sum of

Amount in words

Effective on

* For a period of

for a period of

months.

At current rate of interest in the names

ID No. /Passport

SECTION B :

INSTRUCTIONS

MATURITY INSTUCTIONS: * Select as appropriate

On maturity, I will advise on the fate of the proceeds

Renew the principal amount and interest accrued amount

Renew only principal amount

If instructions will not have been received by yourselves on maturity date, please transfer the deposit plus interest to deposit at the ruling rate.

For a further period of

Principal and interest accrued for a further period of

months

Principal only for a further period of

principal only for a further period of

months

I agree to abide by the terms of The Kenya Bankers governing this deposit as well as the rate of interest ruling at
the time of renewal

APPLICANT SIGNATURE

Choose File

APPLICANT SIGNATURE

Choose File

APPLICANT SIGNATURE

Choose File

Date

Upload Copy of ID/Passport

Choose File

Upload KRA PIN Certificate

Choose File

Applicant Passport Photo Upload

Choose File

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