Membership Application Form

1). YOUR CONTACT DETAILS

Title:

Surname:

Other Name:

Date of Birth:

Nationality:

2). BUSINESS ADDRESS

Company Name:

Company Description:

Job Title:

Address:

Postal Code:

Telephone:

Fax:

Email Address:

Building:

Street/Road/Avenue:

3.) PERSONAL DETAILS

P.O Box:

Postal Code:

Telephone:

Mobile:

All applicants MUST provide AT LEAST Two addresses. One of the addresses you provide will be used as the main address for all PRSK correspondence and will appear in the secure member area of the website as well as Members directory. If you do not wish your personal details to appear in the stated areas please state so clearly

Preferred Address:

Business
Personal

4). QUALIFICATIONS

Please list your latest educational and training qualifications

i).Qualification

Institution:

Date Completed:

ii).Qualification

Institution:

Date Completed:

5). PR, COMMUNICATIONS OR OTHER WORK EXPERIENCE

i).Organisation:

Job Title:

Duration:

Description of Responsibilities:

ii).Organisation:

Job Title:

Duration:

Description of Responsibilities:

iii). Organisation:

Job Title:

Duration:

Description of Responsibilities:

REASON FOR JOINING PRSK

To help us expand and improve our services to members please tell us your main reason for joining PRSK

How did you hear about PRSK?

Colleague/friend
Website
Advertisement
PR Event
Other

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Public Relations Society of Kenya
C/O Corporate Reflection Ltd | P.O. Box 47711 - 00100 Nairobi, Kenya
Tel: 254 - 20 - 2720014 | Fax: 254 - 20 -2723816 | 47 Mucai Drive Off Ngong Road