University of Nairobi Alumni Association Online Membership Registration Form

1. Personal Details

Title

e.g. Prof, Dr.

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First Name

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Middle Name

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Last Name

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Institution of Graduation

University of Nairobi (Alumni)
Other:

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Degree(s)/Diploma/Certificate Awarded

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Faculty/Institute/School

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Year of Graduation

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2. Contact Details

ID Number/ Passport Number

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Telephone Number(s)

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Email Address

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Physical Address

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Postal Address

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Current Place of Employment

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Position Held

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3. Membership Categories

Membership Categories (For New Member Only)

Full Annual Member - Ksh 2,000
Bronze Life Member - Ksh 25,000
Silver Life Member - Ksh 50,000
Gold Life Member - Ksh 100,000
None of the above (If Renewing/Upgrading)

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Membership Upgrade/Renewal (For Registered Member only)

Full Annual Membership Renewal - Ksh 2,000
Full Member to Bronze Member - Ksh 23,000
Bronze Member to Silver Member - Ksh 25,000
Silver Member to Gold Member - Ksh 50,000
Gold Member to Corporate Member
None of the Above (If New Member)

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4. Modes of Payment

1) For Full membership pay through our M-PESA Pay bill number 826 300, enter the a/c No. as your Name & Membership Category (e.g. Peter John-Full). 2) For Life Membership you may pay through M-PESA, Cheque, or direct deposit, payable to UON Alumni Association A/C No. 271520761, KCB University Way. 3) For UON staff members you may also pay via the check-off system by filling the check-off form, available for download on our website http://alumni.uonbi.ac.ke/sites/default/files/alumni/check%20off%20form.pdf

Select the method of payment you have used

M-PESA
Cheque
Deposit
Check-Off (UON staff only)

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Enter the M-PESA confirmation code /cheque number/ deposit receipt number or (for Check-Off option type 'Check-Off')

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Thank you for registering with the UON Alumni Association. Upon registration, you will be issued with a letter of acknowledgment, receipt and an email confirming we have successfully received your application and payment.