MEMBERSHIP REGISTRATION FORM

Company/Association Information

Name of Company/Association:*
Physical Address:
Address:
Telephone:
Fax:
E-mail:
Company Status:*
Company Registration:

Company Description

Business Description of the Company/ Association:
Name of current Chairperson of the Board of Directors:
Name of the current Chief Executive Director/Managing Director:

Authorization

Check to certify:*

By checking the box above, I hereby certify that the above information is correct and that the company undertakes to abide by the rules/regulations/procedures as enshrined in the Foundation's Memorandum and Articles of Association