Withdrawal Form

Part 1: Enter your Personal Details

Full Names:

ID Number:

Phone No(s).


Part 2: Account details

Amount saved:

Amount requested for withdrawal:

Balance after withdrawal (minimum account bal: 1,000/-):

Reasons for withdrawal

Preferred mode of payment:

Attach a Scanned copy of your National ID (in colour)

I confirm that I have read, understood and accepted the terms and conditions for withdrawal by clicking the box below: