Special Savings Application

Marital Status

—Please choose an option—SingleMarriedDivorced

Details of Current Work Place

Financial Contribution

Select Special Savings Option

—Please choose an option—₦1,000₦2,000₦3,000₦4,000₦5,000₦10,000₦20,000₦30,000₦40,000₦50,000Others above ₦50,000

Bankers Details

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Declaration

I hereby apply as a member of PRIME ASSETS MULTI-PURPOSE HOUSING COOPERATIVE SOCIETY LIMITED. If admitted, I undertake to accept and abide by the code of conduct/Covenant/Rules & Bye-laws of the Cooperative and shall endeavour to advance the course of the Organization. I certify that the information given on this form is true and correct and enclose payment for my membership application.