Membership Registration - Kabalega Foundation

RM_Stats

Thank you for your interest in joining Kabalega Foundation as a member. Please fill in the form below, choosing the right membership category (Please make sure you have read the membership details under each category, as detailed at: https://kabalegafoundation.org/membership/.
Your application will be reviewed by the Kabalega Foundation Board, upon which consideration will be made and feedback provided to you. Note: Fields marked with an * are required.

Select Membership Category^*

First Name^*

Last Name^*

Family Name^*

Name of Corporate Organisation / Company^*

Name of Group / Society^*

Date of Birth^*

Gender^*

Contact Person^*

Role / Title^*

Contact Person Telephone^*

Website Link

Email^*

Telephone^*

Name of Academic Institution Enrolled at^*

Host Country of Academic Institution^*

Course Enrolled for^*

Level of Study^*

Phyiscal Address^*

Postal Address^*

Nationality^*

Area of Interest or Expertise

Desired Membership Duration^*

Subscription Plan^*

What is your main motivation for joining KF as a member?^*

How did you find out about Kabalega Foundation?

Preferred Mode of Communication

Mission^*

Main Activities^*

T&C Consent^*

By submitting this form, I give consent to Kabalega Foundation to store and process my information for membership and other related purposes, in accordance with their data policy.

To use reCAPTCHA you must get an API key from https://www.google.com/recaptcha/admin/create