The Computer Society of Kenya
P.O BOX 70180 NAIROBI, TEL: 020213870, 0733738793, 0722395900, 3871822/36/48
Email: info@cskonline.org Web Site: http://www.cskonline.org
INDIVIDUAL MEMBERSHIP APPLICATION FORM 2022
PLEASE USE BLOCK LETTERS
NAME: _____________________________________________________________________
Designation:_________________________________________________________________
Organization: ________________________________________________________________
PHYSICAL LOCATION: _________________________________________________________
P.O BOX: ___________________________________________________________________
TOWN:_____________________________________________________________________
TELEPHONE (S): ________________________
FAX: ___________________________
EMAIL: ______________________________
WEBSITE: ______________________
Mobile: _________________________________
Summary of Organization History and Experience In Information Technology
Or Utilization Of Information Technology
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Attach your CV indicating, amongst other things your key qualifications in ICT, your
experience, membership of any other professional associations (Indicating grade where
relevant) and what role you think you can play in the Computer Society of Kenya.
I wish to apply for individual membership of the society and undertake to promote
its aims and objectives.
Fees: Registration 500/= Annual Subscription 5,000/=
Foreign members: Registration US$20 Annual Subscription US$225
Payments can be made by cheque to Computer Society of Kenya or Banked directly at any
KCB Branch into our account No. 1108233287 University Way Branch, Branch Code (036)
(Send the banking slip) Or Via Mpesa to KCB Paybill No. 522522 Account No. 1108233287
Date: ______________________________ Signature: _______________________
For Official Use Only:
Individual Membership Number
Date Admitted
Renewal Date
Please allow two weeks to receive the Individual Membership certificate