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MKWAWA UNIVERSITY WORKERS SACCOS LTD

SACCOS INFORMATION MANAGEMENT SYSTEM
(SIMAS)


SIMAS - MUCE SACCOS Membership Application
Please fill out the form below and then click Apply button
EMPLOYMENT ID:
FIRST NAME (GIVEN NAME):
MIDDLE NAME(OTHER NAME):
LAST NAME(SURNAME):
DESIGNATION:
DEPARTMENT:
GENDER:
HOME ADDRESS:
EMAIL ADDRESS (Valid):
MARITAL STATUS:
MOBILE NUMBER:
BIRTH DATE:
N.O.K First Name
N.O.K Middle Name
N.O.K Last Name
N.O.K Address
N.O.K Mobile No.
ENTER PASSWORD:
CONFIRM PASSWORD: