Membership Application Form

APPLICATION FOR ADMISSION TO THE MEMBERSHIP CATEGORY OF: *

Applicants Details

Surname *

First Name *

Other Names *

Postal Address *

Town / city *

Mobile Nos *

Email Address *

Date of Birth" *

County of Residence *

Physical Address. *

ID / Passport No. *

Upload your Passport Photo *

KRA PIN No. *

Next of Kin Name *

Next of Kin Phone *

Next of Kin Email Address

Applicants Employment Details

I am currently engaged as *

To (current employer / institution) *

At (work station / department) *

Being desirous of admission as a member into the Chapter of: *

of the Institution of Surveyors of Kenya, having read the By-laws and being willing to conform there- to, I submit that I am eligible on the grounds that I have passed the qualifying examination and have the requisite experience.

My qualifications are set forth in my answers to the following questions viz;

Are you or have you ever been a member of the Institution or applied for membership? If so, give particulars

Give particulars of any honours
or decorations which you may have

Are you a member of any other professional institution?
If so, specify

Indicate the type of work undertaken by the firm / company / department you work for

Specify the qualification(s) you have that qualify you to apply for the class of membership you are applying for i.e certificate, diploma, degree e.t.c

Proposer and Seconder

Proposer's Name *

Proposer's ISK Membership No. *

Proposer's EMail *

Proposer's Phone Number*

Seconder's Name *

Seconder's ISK Membership No. *

Seconder's EMail *

Seconder's Phone Number*

Payment Details
On application, entrance fee and initial subscription as per the table below are payable

Category	Full	Graduate	Technician	Affiliate	Student
Entrance fees	8,500	5,500	5,000	4,000	300
Annual Subscription	8,500	5,500	5,000	4,000	300
Total Payable Amount	17,000	11,000	10,000	8,000	600

Mode of Payment:
Cash can be banked directly to ISK Account No: 094 8211246 Barclays Bank of Kenya
Cheque payments are acceptable and should be payable to Institution of Surveyors of Kenya
Mpesa mobile money transfer can be done through Paybill, Business Number No. 933200. The
Account Number are the first two Names (Relevant Charges apply) NB: Cash payment is NOT acceptable in our offices

Required Documents

Duly certified copy(ies) of degree / diploma / other certificate(s). All applicants MUST have copies certified by the learning institution *

Letter from the employer (for VEMS chapter applicants)

Copy of payment receipt for Bank and Cheque Deposits

For MPESA Payment, Enter MPESA Transaction number