ENSRA SACCO Membership Form
Personal Information
First Name
Middle Name
Last Name
Gender
Select Gender
Male
Female
Phone Number 1
Phone Number 2
Email
Address Information
Current City / Region
Select Region
Addis Ababa
Afar
Amhara
Benishangul-Gumuz
Central Ethiopia
Dire Dawa
Gambella
Harari
Oromia
Sidama
Somalia
Tigray
Sub City / Zone
Woreda
Membership Details
What do you expect for the membership fee?
1,000 ETB
1,500 ETB
2,000 ETB
How many shares do you want to buy initially?
5,000 ETB
10,000 ETB
Over 10,000 ETB
How much will you save regularly on a monthly basis?
1,000 ETB
Over 1,000 ETB
Document Uploads
Upload National ID (Front & Back)
Upload at least one ID document. Max 10MB per file. Allowed: JPG, PNG, GIF, WebP, PDF
Upload Personal Photo (Passport Size)
Optional
Recent passport-sized photo or PDF. Max 5MB. Allowed: JPG, PNG, GIF, WebP, PDF
PDF Document
Signature
Optional
Option 1: Draw Your Signature
Clear Signature
Draw your signature in the box above
Option 2: Upload Signature File
Upload scanned signature. Max 2MB. Allowed: JPG, PNG, GIF, WebP, PDF
PDF Signature
Note: Signature is optional. You can either draw your signature or upload a scanned copy (PDF accepted).
Submit Registration