Join Now | Kampala Club Ltd

Step 1

Personal information.

Application fee paid

Application fee date

Receipt No.

Title

First name

Surname / family name

Birth date

Age

Gender

Marital status

Nationality

NIN

Profession

Employer's name

Email

Phone number

Residential address

Physical address

Postal address

Highest level of education

Date attained

Step 2

Family, corporate and next of kin.

Family and dependent details

Spouse's name

Spouse birth date

Spouse phone number

Spouse email

Spouse nationality

Spouse NIN

Spouse gender

1st Dependant

Name

Relationship

Birth date

Age

NIN

2nd Dependant

Name

Relationship

Birth date

Age

NIN

3rd Dependant

Name

Relationship

Birth date

Age

NIN

4th Dependant

Name

Relationship

Birth date

Age

NIN

5th Dependant

Name

Relationship

Birth date

Age

NIN

Corporate nominees

Nominate up to five employees or members of the corporate entity applying.

Corporate entity name

Primary contact person

First Nominee

Second Nominee

Third Nominee

Fourth Nominee

Fifth Nominee

Next of kin

Name

Relationship

Phone number

Email

Step 3

Membership details.

Name of club

Membership in other clubs

Proposer's name

Proposer year of joining

Proposer signature

Seconded by

Seconder year of joining

Seconder signature

Sports preferences

Step 4

Supporting documents.

Accepted formats: JPG, PNG and PDF. Maximum size: 5MB per file.

National ID or passport copy

Passport photograph

Corporate registration certificate

Supporting letter / authorisation

Step 5

Member declaration and data privacy consent.

I hereby declare that the information provided in this form is true, accurate, and up to date. I acknowledge that it is my responsibility to notify the club administration of any changes to this information.

In accordance with the Data Protection and Privacy Act, I explicitly consent to Kampala Club Limited collecting, processing, and storing my personal data for purposes strictly related to official club administration, institutional communication, billing, security, and facility access management.

I confirm that the information supplied is true, accurate, and up to date. I consent to data collection, processing and storage for official club administration.

Member's / applicant's signature

Date of submission

Apply for Kampala Club membership.

Personal information.

Family, corporate and next of kin.

Family and dependent details

Corporate nominees

Next of kin

Membership details.

Sports preferences

Supporting documents.

Member declaration and data privacy consent.