Registration Form

Read Instructions information about filling-in the Registration form. This is your official application and registration form for all members. The National party Leader is Joseph Masini of Machakos county.

Name & Address *

ID N0 or Kenyan Passport N0 & Age in Years *

Telehone N0 and type of Work/job/occupation/Career *

County Name *

Constituency Name *

Ward Name *

Location Name *

Sub-Location *

Village Name *

Member Class(select) Life,Gold,Silver,Platinum,Special,Normal,Project *

Party Aspirants (President,Governor,Senator,W/Rep,MP,MCA,Leader ) *

Donation Amount and Mpesa Receipt No or Bank Slip *

E-mail *

Message *

Registration Form

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