Kenyan Society Of Homeopaths
P.O. Box 573 - 00621, Nairobi, Kenya
Office Tel: (+254 20) 445-0181
Email: KenyanSocietyHomeopaths@gmail.com
Application for Membership
Please fill out this form and click the "Send" button.
Fields marked with * are required
Name*
Email*
Nationality
ID
Sex
Birthdate
Mailing Address P.O. Box
Postal Code
Town
Professional Physical Address
Town / Village
Telephone-Home
Office
Mobiles
Website
Professional Qualifications (Include the degree & the institution from which you qualified)
Present Work/Clinic or Activity including address
References (Two persons of professional standing) include name, tel, address.
I confirm that the information given above is true and correct.
Please include through the post (above address with this application:
CV or resume
Copy of your diplomas or other relevant documentaton
1 passport sized photo
Registration fee KSh. 500/=
Annual membership fee Ksh 1000/=
NB. If you are newly qualified, self-trained or having other circumstances, you may be asked to submit to a certification process as part of the registration. You will be contacted in that case.