Deriko Yassir Foundation & Departments logoDeriko YassirFoundation & Departments

Get Involved

Membership Registration

Join Deriko Yassir Foundation & Departments as a registered member.

Deriko Yassir Foundation & Departments logoDeriko YassirFoundation & Departments
Postal Address:
P.O. Box 19503-00100 GPO
Mobile (Safaricom):
+254 727 337 706
Mobile (Airtel):
0735 786 070

Membership Fee

KES 2,000

One-time registration fee (non-refundable)

Monthly Contribution

KES 500

Ongoing monthly member contribution

Documents Required

Please bring or email the following along with this application: 2 coloured passport photos, and a copy of your original ID or passport (recent). These cannot be submitted through the form below — email them to derikoyassir23@gmail.com referencing your name, or bring them in person.

Membership Application

Applicant & Next of Kin Details

All fields marked with an asterisk are required.

For Official Use Only

Reserved for staff processing this application — not to be filled by the applicant.

Membership No.:
Date Received:
Received By:
Approved By:
Signature:
Official Stamp: