Membership Form Online

To join the credit union we require you to:
Complete this application in full
Provide identification evidence requested to support your application

Please complete the form below


Which type of membership are you applying for?
  • – select from list –
  • Diaspora
  • Africa & Zimbabwe
  • Rural
Please enter type of membership
Your Title:
  • – select your title –
  • Mr.
  • Mis.
  • Dr.
  • Mrs.
Please enter your title
Date of Birth
Field is required!
First Name
Kindly enter your first name
Contact Number
Field is required!
Surname
Kindly enter your surname
E-mail
Field is required!
House Number or Name
Field is required!
Address Line 1
Field is required!
Address Line 2
Field is required!
Address Line 3
Field is required!
Field is required!
What is your marital status?
  • – select a option –
  • Single
  • Married
  • Civil Partnership
  • Living with partner
  • Divorced
  • Dissolved Civil Partnership
  • Separated
  • Widowed
Field is required!
Field is required!
Regular Savings Amount
You must enter the amount
  • – select your country –
  • Åland Islands
  • Afghanistan
  • Albania
  • Algeria
  • American Samoa (US)
  • Andorra
  • Angola
  • Antigua and Barbuda
  • Argentina
  • Armenia
  • Australia
  • Austria
  • Azerbaijan
  • Bahamas
  • Bahrain
  • Bangladesh
  • Barbados
  • Belarus
  • Belgium
  • Belize
  • Benin
  • Bermuda (UK)
  • Bhutan
  • Bolivia
  • Bosnia and Herzegovina
  • Botswana
  • Brazil
  • Brunei
  • Bulgaria
  • Burkina Faso
  • Burma (Myanmar)
  • Burundi
  • Cambodia
  • Cameroon
  • Canada
  • Cape Verde
  • Central African Republic
  • Chad
  • Chile
  • China
  • Colombia
  • Comoros
  • Congo, Democratic Republic of the
  • Congo, Republic of the
  • Cook Islands (NZ)
  • Costa Rica
  • Croatia
  • Cuba
  • Cyprus
  • Czech Republic
  • Denmark
  • Djibouti
  • Dominica
  • Dominican Republic
  • East Timor (Timor-Leste)
  • Ecuador
  • Egypt
  • El Salvador
  • Equatorial Guinea
  • Eritrea
  • Estonia
  • Ethiopia
  • Falkland Islands (UK)
  • Faroe Islands (Denmark)
  • Fiji
  • Finland
  • France
  • French Guiana
  • French Polynesia (France)
  • Gabon
  • Gambia
  • Georgia
  • Germany
  • Ghana
  • Gibraltar (UK)
  • Greece
  • Greenland (Denmark)
  • Grenada
  • Guam (US)
  • Guatemala
  • Guernsey (UK)
  • Guinea
  • Guinea-Bissau
  • Guyana
  • Haiti
  • Honduras
  • Hong Kong (China)
  • Hungary
  • Iceland
  • India
  • Indonesia
  • Iran
  • Iraq
  • Ireland
  • Isle of Man (UK)
  • Israel
  • Italy
  • Ivory Coast
  • Jamaica
  • Japan
  • Jersey (UK)
  • Jordan
  • Kazakhstan
  • Kenya
  • Kiribati
  • Korea, North
  • Korea, South
  • Kosovo
  • Kuwait
  • Kyrgyzstan
  • Laos
  • Latvia
  • Lebanon
  • Lesotho
  • Liberia
  • Libya
  • Liechtenstein
  • Lithuania
  • Luxembourg
  • Macau (China)
  • Macedonia
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Malta
  • Marshall Islands
  • Mauritania
  • Mauritius
  • Mayotte (France)
  • Mexico
  • Micronesia, Federated States of
  • Moldova
  • Monaco
  • Mongolia
  • Montenegro
  • Morocco
  • Mozambique
  • Namibia
  • Nauru
  • Nepal
  • Netherlands
  • New Caledonia (France)
  • New Zealand
  • Nicaragua
  • Niger
  • Nigeria
  • Niue (NZ)
  • Norfolk Island (Australia)
  • Northern Mariana Islands (US)
  • Norway
  • Oman
  • Pakistan
  • Palau
  • Palestinian territories
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Pitcairn Islands (UK)
  • Poland
  • Portugal
  • Qatar
  • Réunion (France)
  • Romania
  • Russian Federation
  • Rwanda
  • São Tomé and Príncipe
  • Saint Helena, Ascension and Tristan da Cunha (UK)
  • Saint Kitts and Nevis
  • Saint Lucia
  • Saint Pierre and Miquelon (France)
  • Saint Vincent and the Grenadines
  • Samoa
  • San Marino
  • Saudi Arabia
  • Senegal
  • Serbia
  • Seychelles
  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon Islands
  • Somalia
  • South Africa
  • South Sudan
  • Spain
  • Sri Lanka
  • Sudan
  • Suriname
  • Svalbard and Jan Mayen (Norway)
  • Swaziland
  • Sweden
  • Switzerland
  • Syria
  • Taiwan
  • Tajikistan
  • Tanzania
  • Thailand
  • Togo
  • Tokelau (NZ)
  • Tonga
  • Trinidad and Tobago
  • Tunisia
  • Turkey
  • Turkmenistan
  • Tuvalu
  • Uganda
  • Ukraine
  • United Arab Emirates
  • United Kingdom
  • United States
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Vatican City
  • Venezuela
  • Vietnam
  • Wallis and Futuna (France)
  • Western Sahara
  • Yemen
  • Zambia
  • Zimbabwe
Field is required!
Regular Savings Frequency
  • – select a option –
  • Weekly
  • Fortnightly
  • Monthly
Field is required!
Savings Method (tick all that apply)
Field is required!
How did you find out about the credit union?
Field is required!
Please provide details of a beneficiary. A beneficiary is someone that would inherit your savings with the credit union in the unfortunate event of your death.
Beneficiary Name
Field is required!
Beneficiary address
Field is required!
Beneficiary Contact Number
Please fill out this field
Beneficiary relationship
Please fill out this field
To confirm your identity we require:
Photographic ID Government Issued
Proof of address (Utility bill)
Passport Size Picture (35mm x 45mm)
Please submit your proofs using the upload facility below.

PLEASE NOTE: All evidence should be (i) Valid (ii) Dated within the last three months (iii) Clear and legible
Please provide photographic identification such as Current Passport or Current Driving License in jpeg, jpg, pdf, png format
Upload your documents…
There has been a problem with the upload
Please provide proof of your address such as a recent utility bill or bank statement in jpeg, jpg, pdf, png format
Upload your documents…
There has been a problem with the upload
Please provide a passport size photo in jpeg, jpg, pdf, png format
Upload your documents…
There has been a problem with the upload
In making this application I apply for membership of Diaspora Credit Union and agree to abide by the terms and conditions of membership
You must agree to the terms
We may pass on your details to third parties for the sole purpose of providing services on behalf of Diaspora Credit Union.
If you do not wish to have your details passed in this way please tick the box
Field is required!
I am interested in finding out more about (please tick as applicable)
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To complete your application please ensure your Email address is correct and then select Submit below.