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.
Our website: http://www.hakenya.net
Yours sincerely
HAK
Surname *
Please provide your surname
Other names *
Please provide your other names
Title/Salutation *
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Gender *
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Date of birth *
Please select your date of birth
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Occupation *
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Organization *
Which organization do you work with or are you affiliated with?
Type of organization *
Address *
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Email *
Please provide your email address
Telephone *
Please provide your telephone number
Student Status *
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?
Expected completion
Please indicate when you expect to complete your studies
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Level of study
At what level are you studying
Clear selection
DAAD alumni *
Are you a DAAD alumni?
Membership type *
Please select the membership type you wish to take up
Payment *
Have you paid your membership fees
Payment Details
Please indicate payment details below including amount paid, date paid, mode of payment, name of payee as indicated on the bank slip, reference number
Remark/Comment
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