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

I WISH TO BE A (TICK APPROPRIATE)

FAMILY MEMBERSHIP
ORDINARY MEMBERSHIP
ORDINARY LADY
ORDINARY JUNIOR
UPGRADING FROM JUNIOR
FULL MEMBER

P.O BOX

POSTAL CODE

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? *

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 *

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? *

HAVE YOU EVER SERVED IN A CLUB COMMITTEE? *

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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UPLOAD ID/PASSPORT