Membership Form - UoN Alumni Association

1. Personal Details

Title

First Name

Middle Name

Last Name

Gender

ID Number/ Passport Number

Institution of Graduation

Degree(s)/Diploma/Certificate Awarded

Faculty/Institute/School

Year of Graduation

2. Work Details

Sector

Current Place of Work

Position

3. Contact Details

Telephone Number(s)

Address Line 1

Address Line 2

City

Country

4. Membership

Membership 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. Payment

1) 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.pdf

Enter the M-PESA confirmation code /cheque number/ deposit receipt number or (for Check-Off option type 'Check-Off') *