MALAWI POLICE SAVINGS AND CREDIT COOPERATIVE SOCIETY LIMITED

National Police Headquarters, Private Bag 305 Capital City Lilongwe 3
Cell: 0992308090, 09937388858, www.malawipolicesacco.com

INTERNET BANKING APPLICATION FORM

PLEASE COMPLETE DETAILS IN CAPITAL LETTERS

* All fields marked with an asterisk are mandatory

DATE *

PERSONAL DETAILS

Upload National ID *

Accepted: JPG, PNG, GIF

Full Name *

Employment Number *

Address *

Mobile Number *

Email Address

National ID No. *

DECLARATION BY THE APPLICANT

I hereby apply for Internet Banking solution. I warrant you that the information given above is true and complete and I authorize you to make any inquiries necessary in connection with this application. I accept and agree to be bound by the conditions of use. I agree that I am liable for charges incurred through the use of this Facility. I hereby indemnify Malawi Police SACCO against all losses that they may incur as a result of my use of the facility. I understand that Malawi Police SACCO reserves the right to decline the application without giving reasons.

Applicant's Name *

Signature (Upload Image) *

Accepted: JPG, PNG, GIF

FOR OFFICIAL USE ONLY

Checked By:

Signature:

[Official Signature]

Approved By:

Signature:

[Approval Signature]

Date:

By submitting this form, I confirm that all information provided is accurate and complete.

I understand that false information may result in rejection of my application.

MALAWI POLICE SAVINGS AND CREDIT COOPERATIVE SOCIETY LIMITED

INTERNET BANKING APPLICATION FORM

PERSONAL DETAILS

I want to use Internet Banking on the following menu accounts:

DECLARATION BY THE APPLICANT

FOR OFFICIAL USE ONLY