FOMU YA UANACHAMA WA KIVINET

KILIMANJARO VICOBA NETWORK (KIVINET)

(Mtandao wa VICOBA mkoa wa Kilimanjaro)

FOMU YA UWANACHAMA

MAOMBI Na. ______________                                                                Tarehe _____________

Jina la VICOBA _______________________________________________________________

Tarehe ya kuanzishwa __________________

Namba ya Usajili ___________________________________________

Aina ya Usajili ______________________________________________

Jina la Benki akaunti ilipofunguliwa ________________________________________________

Na. ya akaunti _________________________________ Tawi la _________________________

Mtaa/Kijiji  ________________________________________________.

Wilaya ____________________________________________________

Mkoa _____________________________________________________

Idadi ya Wanachama _________ Wanawake ________ Wanaume ____________

TAARIFA YA MIZUNGUKO ILIYOPITA.

Na. ya Mzunguko	Tarehe ya kuanza mzunguko	Tarehe ya Kumaliza mzunguko	Idadi ya Wanachama	Hisa	Jamii	Kiasi cha Mikopo iliyotolewa	Faida
1.
2.
3.
4.
5.

(Fomu hii isainiwe na Mwenyekiti na Katibu kwa niaba ya wanachama wote)

Saini _______________________                                    Saini __________________________

Jina _________________________                                  Jina ____________________________

Mwenyekiti                                                                        Katibu

Simu ______________________                                      Simu __________________________