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Connect with us by filling out the form below. We look forward to welcoming you into our community! Read out Membership Terms Here
MEMBERSHIP TERMS
A. Personal information
Profile Photo
The profile picture should be a JPEG or PNG square image between 20KB and 1MB.
Salutation
Mr
Mrs
Miss
Ms
Dr
Prof
Rev
Gender
Male
Female
Month and Year of Birth
First Name
Last Name
PPAK Membership Number
About Yourself
Minimum 30 words, maximum 100 words.
B. Contact information
Primary Phone Number
Email address
Residence County
Nairobi City
Mombasa
Kisumu
Nakuru
Kakamega
Bungoma
Machakos
Kiambu
Kajiado
Kericho
Trans-Nzoia
Uasin Gishu
Busia
Meru
Kirinyaga
Murang'a
Homa Bay
Siaya
Migori
Makueni
Embu
Kisii
Nyamira
Kilifi
Kitui
Bomet
Nandi
Laikipia
Nyeri
Nyandarua
Tharaka-Nithi
Vihiga
Baringo
Kajiado
Elgeyo-Marakwet
Taita-Taveta
Lamu
Garissa
Wajir
Mandera
Marsabit
Isiolo
Kajiado
Kajiado
C. Coaching Training
Which training have you attended (Check at least one)
Character Coach 1
Character Coach 2
Character Coach 3
D. Payment information
To establish an online presence, you must make an annual subscription payment of Ksh 1000 to M-Pesa Paybill number 4026689. Use "CC Online" as the account number when making your booking.
Payment mode
M-PESA
Payment Amount (Annual Subscrption)
Payment Transaction Code
I have read and agree to the
CCA Membership requirements and Character Coaches Africa Code of Practice
.
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