EMBASSY OF THE REPUBLIC OF KENYA, SEOUL

REGISTRATION
FORM
1. Personal Information
Full Name: (Mr./Mrs./Miss/).....
Sex:

i) Mal
e

Date of
Birth: Place
of Birth:

li)
Female

Birth Certificate No:....

Provinc
e

Countr
y

Kenyan ID Card No.: ............................................................Passport Number:

Place and Date of

Date ofExplry

Issue... Residential
Mobile
No:.....

Address: .
Telephone No:
E-Mail Address:

Expected date of Depanure......

Date of Arrival in Korea:

*2.Occupation:

i)

work

of

Name

Company/University:
Address:
Telephone Number:

3. Next of Kin in
Kenya

ii)Business (iii)
Student

iv) Others

.....

Name:

Relation

.....

Province:....

Address:....
Telephone No................................................... Mobile No...
E-Mail Address:....

4. Emergency Contact in Korea

Name:
Company/Institution.....
Telephone No................ .......................................... Mobile......
Address:
E-mailAddress:

*For people in the category of (i) work, (ii) Business, (iv) others, please attach a CV. This is
required so that you can be considered for Presidential Honours and Awards, as well as
Diaspora jobs in Key International Organizations.