Name of Organisation* Company RC No.* Company Registration Date* Head Office* Branch Office [cf7mls_step cf7mls_step-1 "Next" "Registration"] The following information is vital for BUSINESS DEVELOPMENT SERVICES for maintaining its postal status and for communicating with members more effectively and as well as an investment tool. Total numbers of employees working for my organization 5-2021-5051-100101-500501-100010,000-25,000 & ABOVE Numbers of persons within management in my organization 5-2021-4041-6061-8081-100100-200 & ABOVE Total time spent working on my organization activities 15-20%21-40%41-60%61-80%81-100%100 & ABOVE Do other people within management make decisions other than me? YesNo Management: Directors/partners/Chairman [uacf7-row] [uacf7-col col:4] [1]-Management —Please choose an option—DirectorsPartnersChairman[/uacf7-col] [uacf7-col col:4] Name [/uacf7-col] [uacf7-col col:4] Position[/uacf7-col] [/uacf7-row] [uacf7-row] [uacf7-col col:4] [2]-Management —Please choose an option—DirectorsPartnersChairman[/uacf7-col] [uacf7-col col:4] Name [/uacf7-col] [uacf7-col col:4] Position [/uacf7-col] [/uacf7-row] [uacf7-row] [uacf7-col col:4] [3]-Management —Please choose an option—DirectorsPartnersChairman[/uacf7-col] [uacf7-col col:4] Name [/uacf7-col] [uacf7-col col:4] Position [/uacf7-col] [/uacf7-row] [uacf7-row] [uacf7-col col:4] [4]-Management —Please choose an option—DirectorsPartnersChairman[/uacf7-col] [uacf7-col col:4] Name [/uacf7-col] [uacf7-col col:4] Position [/uacf7-col] [/uacf7-row] [cf7mls_step cf7mls_step-2 "Back" "Next" "Survey Information"] Name Position Address Qualification Birthday Telephone Fax Number Signature (size not more than 30kbs Award Professional Affiliations/Associations Name Position Qualification Telephone Fax Number Email address [cf7mls_step cf7mls_step-3 "Back" "Next" "Accredited Representative"] We wish to be admitted as member of PORT HARCOURT CHAMBER OF COMMERCE INDUSTRY, MINES AND AGRICULTURE (PHCCIMA) and if admitted to be bound by the Memorandum and Articles of Association Bye-laws and Constitution of PHCCIMA. We will pay the annual subscription and any other fees levied by PHCCIMA as at when due. We declare that all information made herewith are correct. [uacf7-row] [uacf7-col col:3] Name [/uacf7-col] [uacf7-col col:3] Position[/uacf7-col] [uacf7-col col:3]Signature (size not more than 30kbs [/uacf7-col] [uacf7-col col:3] Date[/uacf7-col] [/uacf7-row] [cf7mls_preview_step "Preview"] [cf7mls_step cf7mls_step-4 "Back" "Declaration"]
