COMPANY / ORGANIZATION / ASSOCIATION : *
POSTAL ADDRESS : *
TOWN / VILLAGE : *
E-MAIL : *
TEL : *
FAX :
WEBSITE :
PHYSICAL ADDRESS :
 
BUSINESS SECTOR (TICK ONE) *
AGRICULTURE
CONSTRUCTION
EDUCATION
ENGINEERING
FINANCIAL SERVICES
HEALTH CARE SERVICES
HOTEL & TOURISM
MANUFACTURING
MEDIA INDUSTRY
MINING & QUARRYING
MOTOR TRADE
PARASTATALS
PETROLEUM & CHEMICALS
INFORMATION TECHNOLOGY
PROFESSIONAL SERVICES
RETAIL TRADE
SECURITY
TRANSPORT
WHOLESALERS
WOMEN IN BUSINESS
PRINTING & PUBLISHING
 
Description of Organisation products and services offered:
 
MANAGEMENT: * MALE MANAGED FEMALE MANAGED    
OWNERSHIP: * CITIZEN NON-CITIZEN JOINT-VENTURE
OWNERSHIP: * MALE FEMALE    
N.B. SUBSCRIPTIONS ARE BASED ON LEVELS OF EMPLOYMENT. DECLARE ACCURATELY.
 
Number of Employees in your organisation:
EMPLOYMENT: CITIZEN
  NON-CITIZEN  
  MALES MALES
  FEMALES FEMALES
  TOTAL TOTAL
 
HOW DID YOU HEAR ABOUT BOCCIM:
FRIEND BOCCIM STAFF MEDIA OTHER (SPECIFY)
 
  HEREBY APPLY FOR MEMBERSHIP OF BOCCIM ON BEHALF OF THE ABOVE COMPANY/ORGANIZATION.ASSOCIATION.
POSITION IN COMPANY : DATE:
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