MEMBER APPLICATION FORM -

MEMBERSHIP APPLICATION PROCESS:

Complete the application form.
The proposer and seconder will sign the membership form.
Full payment for the applicable category will be made through the office.
Completed form with proof of payment will be returned to the managers office.
The manager will confirm the completeness of the form before approval for circulation.

Fully completed form.
Passport size photos of applicant and dependencies if any at the end
Copy(ies) of national ID or Passport(s).
Copy of PIN certificate.

Name

First

Last

Email

I WISH TO BE A (TICK APPROPRIATE)

FAMILY MEMBERSHIP (KSH 400,000)
OVERSEAS MEMBERSHIP (KSH 275,000)
ORDINARY MEMBERSHIP (350,000)
YOUNG PROFESSIONAL 22YRS-30YRS (KSH 150,000)
PARTNERSHIP MEMBERSHIP ANNUALLY (KSH 1,000,000)
CORPORATE MEMBERSHIP MIN (5 PAX) INC OF FIRST YEAR SUBSCRIPTION (KSH 1,500,000)
TEMPORARY MEMBERSHIP (USD 1000)
YOUNG PROFESSIONALS GOLF MEMBERSHIP 22 YRS-30YRS(KSHS 150,000)
JUNIOR GOLF MEMBERSHIP 18YEARS AND BELOW (KSH75,000)

N/B:

A TEMPORARY CARD IS ONLY ISSUED UPON PAYMENT OF A MINIMUM OF 50% OF THE JOINING FEES.
THE BALANCE IS TO BE CLEARED WITHIN 3 HOURS

CANDIDATE MUST ATTACH THE FOLLOWING DOCUMENTS

CERTIFIED COPY OF NATIONAL ID CARD/PASSPORT.
2(TWO)PASSPORT - SIZE PHOTOGRAPHS
FAMILY MEMBERSHIP CANDIDATE MUST ATTACH COPY OF SPOUSES AND CHILDREN'S PHOTOGRAPHS (WHERE APPLICABLE)
NON-RESIDENTS MUST ATTACH VALID WORK PERMIT.

I MR/MRS/MASTER/MISS/ENG/DR/PROF

CANDIDATES DETAILS:

P.O BOX

POSTAL CODE

DATE OF BIRTH

TOWN

MOBILE NUMBER

HOME NUMBER

ID NUMBER/ PASSPORT NUMBER

EMPLOYED BY: (IF MORE THAN ONE INDICATE ALL)

POSITION HELD:

IF EMPLOYED NAME OF | COMPANY | INSTITUTION | FIRM IN WHICH YOU ARE EMPLOYED:

IF SELF EMPLOYED NAME OF | COMPANY | INSTITUTION | FIRM IN WHICH YOU ARE EMPLOYED:

DATE OF BIRTH

STATE ANY PROFESSIONAL EXPERIENCE OR QUALIFICATIONS THAT YOU POSSESS

INDICATE TO WHOM THE CLUB WILL CONTACT INCASE OF AN EMERGENCY (INDICATE NAME & NUMBER)

HAVE YOU EVER BEEN SUSPENDED FROM ANY OF THE STATED CLUB?

ARE YOU A MEMBER OF ANY OTHER CLUB? IF SO STATE WHICH:

IF SO STATE WHICH CLUBS AND BRIEFLY WHY?

HAVE YOU EVER BEEN SUSPENDED FROM ANY OF THE STATED CLUB?

YES
NO

IF SO STATE WHICH CLUBS AND BRIEFLY WHY?

HAVE YOU BEEN REFUSED MEMBERSHIP BY ANY OTHER CLUB?

IF SO STATE WHICH CLUB(S) AND BRIEFLY WHY?

DO YOU CURRENTLY PLAY GOLF

YES
NO

WHAT IS YOUR CURRENT HANDICAP? IF SO STATE WHICH:

WHERE ARE YOU CURRENTLY HANDICAPED?

DO YOU INTEND TO BE AN ACTIVE GOLFER AT KENYA RAILWAY GOLF CLUB?

YES
NO

HAVE YOU EVER SERVED IN A CLUB COMMITTEE?

YES
NO

IF YES STATE POSITION:

NAME OF SPOUSE:

SPOUSES' TELEPHONE NUMBER:

SPOUSES' EMAIL ADDRESS:

SPOUSES' GOLFING STATUS:

GOLFER
NON-GOLFER
INTERESTED IN PLAYING GOLF

SPOUSES HANDICAP: (IF ANY)

NAME SEX,AGE & GOLFING STATUS OF CHILD:

NAME:

SEX:

AGE

H. CAP

NAME SEX,AGE & GOLFING STATUS OF CHILD:

NAME:

SEX:

AGE:

H. CAP:

NAME SEX, AGE & GOLFING STATUS OF CHILD:

NAME:

SEX:

AGE:

H. CAP:

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