KOTA membership application

Join the professional community shaping rehabilitation in Kenya.

Submit your biodata, professional credentials, and supporting documents through one secure application. After submission, you will proceed directly to payment.

Membership feeKES 6,500Secure M-Pesa simulation

1Complete application

2Pay membership fee

3Technical verification

Membership Application

All fields marked with * are required.

✓ Secure submission

Biodata

Tell us who you are and where you are based.

Full Name *

Gender *

Date of Birth *

National ID / Passport *

Phone Number *

Email Address *

County *

KRA PIN *

Physical Address *

Professional Details

Provide the academic and practice information used for verification.

Qualification *

Institution *

Year Graduated *

License Number (if renewal)

Practice Area *

Upload Documents

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

National ID / Passport *Identification document Passport Photo *Recent clear photo Academic Certificates *Academic qualification evidence Professional Certificates *Professional credentials Internship Documents *Internship completion evidence Payment ProofOptional supporting proof

Create your portal password

Use this password to return to your member dashboard.

Password *Your login email will be the email entered above.

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