APDK Member Registration Title Gender Male Female Name Address National ID No National ID copy Email Clearance from Ethics and Anti-Corruption Physical location Phone Number If Person with Disability, state category Physical Visual Cognitive Hearing Any Other If yes, indicate NCPWD Registration No/Certificate No Branch Education background Registered member with any other organization/s Membership Type Ordinary Member - Ksh 2,000 application and Ksh 1,000 annually Corporate Member - Ksh 50,000 application and Ksh 25,000 annually Honorary Membership Proposed by Seconded by Reason for joining Date Message y hjk hnm Send