Privacy Notice

By submitting this form, you acknowledge and consent to Orapa SACCOS collecting and processing your Know Your Customer (KYC) information for identification, verification, regulatory compliance, and membership service purposes.

We collect only the data necessary to verify your identity and eligibility, which may include your full name, membership number, contact details, identification documents, and other relevant information.

All KYC data will be processed in accordance with the Botswana Data Protection Act, 2024, and Orapa SACCOS’s Privacy Policy. Your information will be kept secure, confidential, and used solely for the stated purposes, and will not be shared with third parties without your explicit consent, unless required by law.

You have the right to access, correct, or request deletion of your KYC data, and to withdraw consent at any time.

For more information or to exercise your rights, contact info@orapasaccos.co.bw or view our full Privacy Policy at https://orapasaccos.co.bw/privacy-policy/

Checkboxes *

I consent

Full Name *

Security No *

Date of Birth *

Omang/ Passport number *

Nationality *

Marital Status *

Member Category *

ADDRESS AND CONTACT DETAILS

Address *

Postal *

Mobile *

Telephone (H)

Email

EMPLOYER DETAILS

Employer Name *

Occupation *

Employment Type *

Contract Type *

Telephone (W)

Retirement Date

BANKING DETAILS

Bank Name *

Branch Name *

Account Number *

Branch Code

Source of Funds *

NEXT OF KIN (To be contacted incase of emergency)

Full Name *

Omang/ Passport number

Email

Mobile *

Relationship

Physical Address *

Postal Address *

As defined in the Financial Intelligence Act

As Per the Financial Intelligence Act, Any Prominent Influential Person (PIP) Must Complete the Below Self Declaration.

Prominent Influential Persons (PIPs) are defined as a means, in relation to -
a)a foreign prominent influential person, a person who is or has been entrusted with prominent public function by a foreign country;
b) a domestic prominent influential person, a person who is or has been entrusted with domestically prominent public functions
c)international organisation, a person who is or has been entrusted with a prominent function by an international organisation.

Are you a Prominent Influential Person? *

Yes
No

Are you associated with a Prominent Influential Person(PIP)? *

Yes
No

Attachments *

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

(Certified Copy of Omang/ Passport, Confirmation of Employment/ Pension Letter or certificate, Proof of Residential address (Affidavit/ Waterbill/ Electricity bill/ Council rates etc)

DECLARATION

I hereby declare that the details furnished above are true and correct to the best of my knowledge and believe and i undertake to inform you of any changes therein, immediately. In case the above information is found false, untrue, misleading, or misrepresenting, I am aware that I may be held liable for it.

Signature *

Clear Signature

Date *