Individual Application

individual_membership

Name of organization

Trading Name

Postal Address

Physical Address

Telephone

Website/URL

Business Category

Section Buttons

Ownership/ Directors and Management profile

Section Buttons

Please submit a short description/ profile of the business which includes

Section Buttons

(i)Ownership structure

(ii) Products offered

(iii) Why you want to join AMFI-Kenya

Having acquitted ourselves with the relevant guidelines and code of conduct, we hereby confirm; (i)That all information reflected in this application is true and correct (ii)That we shall abide by the constitution, code of conduct rules and regulations

Section Buttons

Membership Declaration

Name

Designation

Date

Signed for and on behalf of organization

Section Buttons

Representative/ Contact Person

Text

Name

Designation

Mobile Number

Office Telephone

Email address

Section Buttons

Alternative Representative/ Contact Person

Name

Designation

Mobile Number

Office Telephone

Email Address

Section Buttons

Upload certified copies of:

Section Buttons

Certificate of incorporation

Business registration certificate

Company profile

Pin Certificate

If you are human, leave this field blank.