APPLICATION FOR RETENTION IN THE 2015 REGISTER

Requirements for Retention

  1. Acquire a minimum of 50 CPD points in the calendar year
  2. Evidence of employment if practitioner is not in private practice
  3. Renewal fee Kshs.4,000
    4. Late application will attract 50% penalty of the retention fees after 15st January 2015
    All payments should be made to:
    Medical Practitioners and Dentists Board
    Account No: 1103158643
    Bank: KCB, Milimani Branch
    SWIFT CODE: KCBLKENX
    BANK CODE: 01175
    Transactions can be undertaken at any KCB Branch countrywide
  6. Your email address
  7. Workstation
  8. Qualifications
  9. Specialty

    Select your Specialty

  10. Sub Specialty
  11. Application Date / / Pick a date.
  12. Postal Address
    P.O Box
    Postal Code

  14. Select either of the two

  15. Employer Details

  18. This should either be .pdf or .jpg