Individual Membership Form

We need you to help us with some basic information before joining EMAK. Here are our Terms and Conditions. Please read them carefully

Name

Area of Operation (Town/City)

Mobile number

ID number (Kenyan ID/ Alien ID or Passport Number)

Area of Specialization

Name of the organization you work with/for

Number of years of Experience in the E-mobility sector

Registration Fee of Ksh 1000/-

Annual Membership Subscription

Describe your contribution towards growing the E-mobility space

What are the individual expectations once you join the association

I agree to conduct myself professionally and personally according to the principles of Electric Mobility Association of Kenya and to be governed by the Constitution and By-Laws of EMAK.

Yes No

Would you like to introduce an individual/organization to EMAK?

Yes No

Introduction and recommendation of organization/Individual to EMAK

Name of the organization

Please provide the contact details of the organization

Bank Details Table

Name	Electric Mobility Association of Kenya
Bank	Stanbic Bank of Kenya
Branch	Chiromo
Account No (KES)	0100012212528
Account No (USD)	0100012212539
Swift Code	SBICKENX
Bank Code	31
Branch Code	31007
Paybill No	600100
Account	Account Number