Membership Form 1. Personal DetailsTitle - Select -ProfHonDrMrMrsMsFirst Name Middle Name Last Name Gender - Select -MaleFemaleID Number/ Passport Number Institution of Graduation - Select -University of NairobiOtherDegree(s)/Diploma/Certificate Awarded Faculty/Institute/School Faculty of AgricultureThe Wangari Maathai Institute for Peace and Environmental StudiesCANISVeterinary MedicineCentre For Biotechnology & BioinformaticsInstitute for Climate Change and Adaptation at the University of NairobiPhysical SciencesSchool of Biological SciencesSchool of Computing and InformaticsSchool of MathematicsArts and DesignEngineeringNuclear Science & TechnologyThe Built EnvironmentCenter of Open and Distance LearningKenya Science CampusSchool of Continuing and Distance EducationSchool of EducationCentre for Hiv Prevention And ResearchDental SciencesInstitute of Tropical & Infectious DiseasesMedicineNursingPharmacyPublic HealthCollege of Health Sciences LibraryAfrican Women's Studies CentreAfrican-studiesArtsBusinessCentre for Advanced Studies in Environmental Law and Policy (CASELAP)Diplomacy and International StudiesEconomicsInstitute For Development StudiesJournalismLawPopulation Studies and Research InstituteCentre for Translation and InterpretationInstitute of Anthropology, Gender & African StudiesSchool of Arts KisumuSchool of CODL KisumuSchool of Economics KisumuSchool of Education KisumuSchool of Law KisumuSchool of Business KisumuSchool of Arts MombasaSchool of Business MombasaSchool of CODL MombasaSchool of Law MombasaYear of Graduation - Select -2020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119702. Work DetailsSector Communications Construction Creative Entertainment Farming FashionFinance Green Industry HealthHospitality ITIT IndustryLight IndustryManufacturing MediaMusic PublishingRetailService IndustrySoftwareSpace Technology IndustryTransport IndustryCurrent Place of Work Position 3. Contact DetailsTelephone Number(s) Email Address Line 1 Address Line 2 City Country Select CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaSamoaYemenZambiaZimbabwe4. MembershipMembership Categories (For New Member Only) Full Annual Member - Ksh 2,000 Bronze Life Member - Ksh 25,000 Silver Life Member - Ksh 50,000 Gold Life Member - Ksh 100,000 Bronze Life Member + Alumni Card - Ksh 26,000 Silver Life Member + Alumni Card - Ksh 51,000 Gold Life Member + Alumni Card - Ksh 101,000 None of the above (If Renewing/Upgrading)Membership Upgrade/Renewal (For Registered Member only) Full Annual Membership Renewal - Ksh 2,000 Full Annual Member to Bronze Member - Ksh 23,000 Bronze Member to Silver Member - Ksh 25,000 Silver Member to Gold Member - Ksh 50,000 Bronze Member to Gold Member - Ksh 75,000 Gold Member to Corporate Member None of the Above (If New Member)5. Payment1) For Full membership pay through our M-PESA Pay bill number 826 300, enter the a/c No. as your Name & Membership Category (e.g. Peter John-Full). 2) For Life Membership you may pay through M-PESA, Cheque, or direct deposit, payable to UON Alumni Association A/C No. 271520761, KCB University Way. 3) For UON staff members you may also pay via the check-off system by filling the check-off form, available for download on our website http://alumni.uonbi.ac.ke/sites/default/files/alumni/check%20off%20form.pdfSelect the method of payment used M-PESA Cheque Deposit Check-Off (UON staff) Check-Off (Non-UON staff)Enter the M-PESA confirmation code /cheque number/ deposit receipt number or (for Check-Off option type 'Check-Off') * Submit