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Saturday, 26 July 2008

Membership Application Form
Please complete the form below to submit your application online.

Download this form. (hint: IE users can right click and select "Save Target")
P E R S O N A L  D E T A I L S
Salutation
Surname
First Name
Date of Birth
E-Mail
Address for correspondence
P R E S E N T  E M P L O Y M E N T
Position , if other:
Employer
Nature of Business , if other:
Work Address
Phone
  Fax  
E M P L O Y M E N T  H I S T O R Y
# From To Employer Name and Address Title
1
2
3
4
5
M E M B E R S H I P  G R A D E
Membership fee includes VAT (1/11 of amount) and a non-refundable nomination fee of K110 (including VAT). Please select the classification applied for
Membership Grade
A D D I T I O N A L  N O T E S
Note
F I N I S H
Please check the entries above before submitting your application


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