IDSK membership registration
Please fill in this form in order to complete your 2019 membership registration with the Infectious Diseases Society of Kenya for the year 2017.

Before you complete the form please make an MPESA payment to the IDSK bank account (pay bill business number 303030, account number 2033091292). Please keep note of the mobile number used to make the MPESA payment. You will receive an email confirmation of your registration and payment within 4 weeks. If you have any difficulties with registration contact the secretariat at idsk.kenya@gmail.com.

The 2019 membership costs are:
• Professional members: KES 2,500
• Affiliate members: KES 1,000
• Associate members: KES 2,500

Name prefix:
Full name: *
Your answer
Profession i.e. whether student, doctor, nurse, laboratory technologist, immunologist, researcher etc: *
Your answer
Position/job title e.g. director, program manager, lecturer, laboratory manager, senior house officer, post graduate student, etc: *
Your answer
Organisation:
Your answer
County where you work/study: *
Your answer
Area of expertise e.g. HIV/AIDS, TB, rabies, dengue fever, epidemiology, public health etc:
Your answer
Mobile number:
Your answer
E-mail address: *
Your answer
Mobile no. used to make MPESA payment: *
Your answer
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