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Membership Registration

Join the Insurance Institute of Kenya today

Personal Details

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Personal Information

First Name

First Name

Middle Name

Middle Name

Last Name

Last Name

Contact Information

Email

Email

Alternative Email

Alternative Email

Phone

Phone

Alternative Phone

Alternative Phone

Password Information

Password

Password

Confirm Password

Confirm Password

Bio Data

Date of Birth

Date of Birth

Must be at least 18 years old

ID/Passport Number

ID/Passport Number

Membership Details

Member Category

Member Category

Select Company

Select Company

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