Membership Registration

MEMBERSHIP REGISTRATIONFill in the form below to register as a member of ACMK

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PART A : Membership Application
Please input the following details
Personal Information
Fill in the following details
Attach Photo Here
Accepted file types: jpg, gif, png, pdf.
Kindly Upload your passport image
Name*
Prefix First Middle Last
Phone*
Input your current reachable phone contact
Date of Birth*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Country of Residence if Not Kenyan
Date of Arrival In Kenya

Educational Background
Please fill in the following details
Secondary/High School*
University
Upload Certificates*
Drop files here or
Class of Membership Applied for:*
- Corporate
- Graduate
Details of Practical Professional Experience in Kenya*
Work Experience
Please input the following details
Name of Employer
First Last
Phone contacts of Employer
Your designation at work
(this section is does not apply if your application is for student membership)

Declaration
(With reference to the ACMK Constitution)
I, agree that in the event of my confirmation to membership of any class in ACMK, I will be governed by the Constitution and By-Laws of the Association, as they are now or as they may hereafter be altered.
Choice*
- I Agree
- I do not Agree
Payment Details
Make registration fee payment (Kshs. 2,000 for Graduate Membership Application or Kshs. 5,000 for Corporate Membership Application) using the procedures below
Go to M-Pesa Menu
Proceed to “LIPA NA MPESA”
Select “PAYBILL”
Enter the following Business Number : 529901
In the account number enter : 3011 8175 83002
Enter amount :
Enter your PIN:
You will receive a MPesa message confirming you have transfered cash to JAMII BORA BANK account number 3011 8175 83002
Payment Confirmation
Please enter the Transaction Code below (MPesa or Bank Reference Code)
Transaction/Reference Number :*
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