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Prosper Development Society

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Member Registration

Apply for Prosper Membership

Complete the sections below. Registration becomes active only after identity, payment and Secretariat verification. The registration fee is KES 500.

1. Application classificationApplication typeMembership category

Voluntary inclusion or support categories (select all that apply):

Person with disability Older person (60+) Youth Student Widow or widower Orphan or care leaver Single parent or primary caregiver Marginalized or minority community Refugee, asylum seeker or stateless person Migrant, foreigner or diaspora member Vulnerable low-income household

Other declared support need

Sensitive inclusion information is voluntary and restricted to authorised officers.

2. Personal biodataFull legal name (three names preferred)National ID, passport or approved identification numberDate of birthSex/genderMarital statusMobile numberAlternative mobile numberEmail addressOccupationEmployer or businessMain source of incomeNationalityPlace/county of birth or originPreferred communication languageAccessibility or communication support needs

3. Residence and CAG placementCountryCurrent countySub-countyWardVillage, estate or physical residencePostal addressPreferred Community Action Group (CAG)Alternative CAGPlacement requestRecruiter or refereeOnboarding or field officer

4. Next of kin and beneficiaries

Nomination remains subject to verified identity, applicable law and resolution of disputes.

Beneficiary 1

Full nameRelationshipIdentification numberMobile numberResidenceBenefit share (%)

Beneficiary 2

Full nameRelationshipIdentification numberMobile numberResidenceBenefit share (%)

Beneficiary 3

Full nameRelationshipIdentification numberMobile numberResidenceBenefit share (%)

Where beneficiaries are declared, their combined shares must equal 100%.

5. Welfare package and dependantsPreferred welfare package

Dependant 1

Full nameRelationshipDate of birthID or birth certificate numberContact, where applicable

Dependant 2

Full nameRelationshipDate of birthID or birth certificate numberContact, where applicable

Dependant 3

Full nameRelationshipDate of birthID or birth certificate numberContact, where applicable

Dependant 4

Full nameRelationshipDate of birthID or birth certificate numberContact, where applicable

Dependant 5

Full nameRelationshipDate of birthID or birth certificate numberContact, where applicable

I commit to the selected monthly welfare contribution and to keeping dependant information accurate.

6. DocumentsPassport-size photographFront of national ID or passportBack of national ID, where applicableOther supporting document

Documents are stored in the restricted verification store and are not published in the website media library. Maximum 5 MB per document.

7. Registration paymentPayment methodAmount expected (KES)Amount paid (KES)Transaction or payment referenceExact payment datePayer phone or accountReceiving officer name and title (cash only)

Cash applications remain pending until banking evidence is verified. A membership number is never issued from this form.

8. Declaration I declare that the information and documents provided are true and complete. I consent to lawful processing, internal verification and official Society communication.

Prosper Development Society

Better Together Always

Registered member-based nonprofit society · Registration No. SOCA-MOTV22M · Kenya

+254 748 207 841 · info@prospersociety.org

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Prosper members are Better Together AlwaysJoin a CAG, participate in programmes and access structured welfare from KES 350 monthly, subject to eligibility.

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