Join Simon and Sons

Member Registration

Complete this form to start your membership. Whichever you are — a farmer, trader, or small business owner — this is the first step toward saving, credit, and enterprise support with us.

1Personal Details

Full name

Date of birth

Gender

Female Male

National ID / passport number

Phone number

Email address (optional)

2Location

State

County / Payam

Town / Village

3Membership Type

I am joining as a

Farmer Trader / business owner Other

Briefly describe your farm or business

4Next of Kin

Full name

Relationship

Phone number

5Declaration

I confirm the information above is accurate, and I agree to abide by the cooperative's membership rules, including regular savings contributions and attendance at member meetings.

Prefer to register in person? Visit our head office in Aweil Town, or call +211 924 000 666. Already filled a paper copy? Upload your completed form instead.