ICX Individual Membership Form

INDIVIDUAL MEMBERSHIP APPLICATION FORM (PLEASE TYPE IN)

APPLICANT INFORMATION (TO BE USED AS THE MAIN CONTACT DETAILS)

EMPLOYMENT INFORMATION

IF STUDENT

IF SELF EMPLOYED

MEMBERSHIP CATEGORY & FEES:

For General Membership:

  • Joining Fee: Ksh 4,000.00
  • Annual Subscription:4,000.00

For Student Membership:

  • Annual Subscription: Ksh 2,000.00

METHOD OF PAYMENT (HIGHLIGHT AS APPLICABLE)

PAYMENT DETAILS

1.Cheques should be written to the Institute of Customer Service Kenya Limited

2. Direct transfers should be made to : Institute of Customer Service Kenya Limited , DTB , Wabera
Street Branch , Account Number: 0243424001 Bank Code :063

3. M-pesa payments are payable to the Till Number 880879

4.A membership certificate will be issued 2 weeks from date of payment.

5.Membership certificate is renewable annually

COMMITTMENT

I wish to apply for individual membership to the Institute of Customer Experience –Kenya and undertake to promote its aims and objectives, and abide by its rules and regulations.



FOR OFFICIAL USE ONLY