Home
à propos de nous
Products
Register
Careers
Events
Updates
E-learning
Contacts
Downloads
Skip to content
×
+254-730-160000
+254-719-086000
Along Mombasa Road
info@meds.or.ke
Client Login
Staff Login
Generic selectors
Exact matches only
Exact matches only
Search in title
Search in title
Search in content
Search in content
Search in excerpt
Search in posts
Search in posts
Search in pages
Search in pages
Hidden
Hidden
Hidden
Hidden
French
French
English
Home
à propos de nous
Products
Register
Careers
Events
Updates
E-learning
Contacts
Downloads
Ngo institution
Address
Name of Institution
Country
Postal Address
E-mail address
Telephone
Is the Institution recognized by the Government Authority that oversees provision of Health or Medical Services in your County/Area? (Attach supporting documents)- Uploading field. Pdf, jpeg
Physical Address
Name of Building/Nearest Shopping Centre
Street name / Road Name
Town/City
Country
Please keep MEDS updated on any changes in authorized people at the Institution, failure to which the signatories below shall be deemed responsible for ordering and settling outstanding payments of the transactions made by your Institution
Name of the Medical Person in charge of the Institution
Qualification
Professional Registration/Licence No
Attach supporting documents) – Uploading fields.pdf, .jpeg
Name of Medical Officer (Doctor) responsible, if any
Licence/Registration No
Is he/she resident
full time
only available for periodic supervision
The following persons are duly authorized to order medical supplies from MEDS.
Name:
Qualifications:
Licence No:
Name:
Qualifications:
Licence No:
Name:
Qualifications:
Licence No:
The following persons are duly authorized to approve payment for the orders.
Name:
Signature: (png/jpg)
Designation/Position:
Name:
Signature: (png/jpg)
Designation/Position:
Name:
Signature: (png/jpg)
Designation/Position:
All signatories above individually undertake to be responsible for the transactions and payments upon receipt of orders.
Guarantors: The following persons are individually and severally responsible for any outstanding bills should the Institution fail to meet its official obligations.
*Name:
*Signature: (.png/jpg)
*Designation:
Name:
Signature: (.png/jpg)
Designation:
Name:
Signature: (.png/jpg)
Designation:
CHECKLISTS.
Duly completed application forms with all the relevant parts fully filled.
Certification of registration/incorporation of the institution with the relevant Government body
Certificate of registration of the medical person (s) in-charge
Attach copies of the I.D. or Passport for persons authorized to order and to pay
Memorandum & Articles of Association for Limited Companies
Latest CR12 of the Company
Copy of PIN Certificate for the organization
Payment method
Card Number *
Security Code *
visa
01
Expiry Date *
01
02
03
04
05
07
08
09
10
11
12
2020
2021
202
Type your M-pesa Number
Type Ref ID
Register