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Membership Registration Form

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Telegraphic Address
‘Bunge’, Nairobi
Telephone: +254-20 2848000
Fax: +254-20 2243694
Nairobi, Kenya
Colloquium Secretariat
Parliament of Kenya
Parliament Buildings
P.O. Box 41842-00100
Email: africacolloquium@gmail.com
AFRICA COLLOQUIUM OF LEGAL COUNSEL TO PARLIAMENTS OFFICE OF THE SECRETARY – GENERAL

MEMBERSHIP REGISTRATION FORM

Fill in the form in CAPITAL LETTERS and submit. Applicable registration fee will be charged. Tick and fill where appropriate.

    GenderMaleFemale
    Level of LegislatureState/County LegislatureNational Legislature
    Language OptionEnglish SpeakingOther Languages
    Physical ChallengesNoYes
    Physical ChallengesIf yes, Specify
    Registration PaymentCashBank Deposit
    Membership Type*FullAssociateHonorary
    The information provided will be used for only Colloquium communication purposesI agree to the terms and conditions
    Jeremiah Nyegenye (Patron of the Colloquium); Elizabeth Hove (President of the Colloquium); Faris Hamad (Vice President of the Colloquium & Northern Region Representative); Samhouna Assouman (Regional Parliaments Representative); Tilly Likomwa (Southern Region Representative); Imaan Toulon (Eastern Region Representative); Sena Atsu (Western Region Representative); Clement Mavungu (PAP Representative); Mussa Kombo (Council Member) and Dr. Johnson Okello (Secretary General of the Council)