Member Registration - Comfort Circle Welfare

Personal Details

Full Name *

National ID Number * (Account Number)

Email Address (Optional - recommended for notifications)

If not provided, notifications will be sent via SMS

Phone Number * (07XXXXXXXX/01XXXXXXXX)

Date of Birth *

Gender *

Marital Status *

Occupation

Account Security

Password *

Confirm Password *

Password Requirements:

At least 8 characters
One uppercase letter (A-Z)
One lowercase letter (a-z)
One number (0-9)
One special character (!@#$%^&*)

Address Information

County *

Sub County

Physical Address

Next of Kin Information

Next of Kin Full Name *

Relationship to Member *

Next of Kin Phone Number *

Next of Kin Email (Optional)

Package Selection

Bronze

Ksh 200 /month

Single person coverage (Principal member only - No dependants)

Ksh 115,000 payout

Silver

Ksh 300 /month

Nuclear family (Couple + up to 6 children)

Ksh 115,000 payout

Gold

Ksh 400 /month

Nuclear family + 2 biological parents (Couple + 6 children + 2 parents)

Ksh 115,000 payout

Platinum

Ksh 500 /month

Extended family (Nuclear + Parents + Parents-in-law)

Ksh 115,000 payout

Referral Information (Optional)

Referred By

If someone referred you to join Comfort Circle, please enter their name

Member Information

Personal Details

Account Security

Address Information

Next of Kin Information

Package Selection

Bronze

Silver

Gold

Platinum

Referral Information (Optional)