HAK MEMBERSHIP APPLICATION FORM
Welcome to the Horticultural Association of Kenya. Please fill in the spaces provided and click submit. We look forward to your active participation and prosperity in HAK.
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Please provide your surname
Please provide your other names
Please select your title/salutation
Please select your gender
Date of birth
Please select your date of birth
Please provide your occupation
Which organization do you work with or are you affiliated with?
Type of organization
Other institution of higher learning
National research institution
International research institution
Non governmental Organization (NGO)
Other state corporation
Please provide your address. Please include your postal address
Please provide your email address
Please provide your telephone number
Are you a student?
Institution of study
If you are you a student, please indicate your institution of study?
Course of study
Which course are you studying?
Please indicate when you expect to complete your studies
Level of study
At what level are you studying
Are you a DAAD alumni?
Please select the membership type you wish to take up
Ordinary (Registration: 500, Annual Subscription KSh 500)
Student (Registration: 500, Annual Subscription KSh 200)
Corporate (Registration: 500, Subscription KSh 5000)
Have you paid your membership fees
Please indicate payment details below including amount paid, date paid, mode of payment, name of payee as indicated on the bank slip, reference number
We would appreciate any comment(s) from you. Please use the space below
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