Add New Member — CoopManager

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Personal Information

Basic member identification details

First Name *

Middle Name (Optional)

Last Name *

National ID Number *

Date of Birth *

Gender *

👩 Female 👨 Male

Primary Phone (M-Pesa) *

This will be used for M-Pesa payments

Secondary Phone (Optional)

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KYC Documents

Upload identification and verification documents

National ID (Front) *

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Upload ID Front

JPG, PNG up to 5MB

📎 Choose File

National ID (Back) *

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Upload ID Back

JPG, PNG up to 5MB

📎 Choose File

Passport Photo *

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Upload Photo

Clear passport-size photo

📎 Choose File

Land Document (Optional)

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Title Deed / Lease

PDF, JPG, PNG up to 10MB

📎 Choose File

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Location & Farm Details

Residence and farm information for the member

County *

Sub-County *

Village / Location *

Farm Size (Acres) (Optional)

Land Ownership

GPS Latitude (Optional)

GPS Longitude (Optional)

Number of Dairy Cattle

Milking Cows

Cattle Breed(s)

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Next of Kin

Emergency contact and beneficiary information

Full Name *

Relationship *

Phone Number *

National ID (Optional)

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Membership & Payment Setup

Registration fees, share capital, and payment preferences

Registration Fee (KES) *

Standard: KES 5,000

Initial Share Capital (KES) *

Minimum: KES 10,000

Payment Method

💵 Cash 📱 M-Pesa

Preferred Payment Channel

For monthly produce payment disbursement

Bank Account (Optional)

Notes (Optional)

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