KAB-BOA Society | Shares Application

Full Name *

Registration Number

Email Address *

Phone Number *

NIN Number *

Date of Birth *

Gender *

Marital Status *

Spouse Name *

Passport Photo *

Occupation *

Position

Membership Class

Physical Address *

Transaction Type *

Number of Shares *

Amount Paid (UGX) *

Payment Method *

Transaction ID / Reference *

Proof Attachment *

Beneficiary Full Name

Beneficiary Contact / Address

I declare that the information provided is correct and I agree to comply with the Society rules and conditions.