Corporate – Application Form – African Compliance Institute

Corporate Information

Corporate Name

Abbreviation of Corporate Name

Type of Business

Legal Nature

Industry

Date of Incorporation

Corporate Logo

Upload

Country of incorporation

Organisation

Private SectorPublic Sector

Username

E-mail Address

Password

Confirm Password

Contact Information

Headquarters Address

Website URL

Company Telephone

Company Email

Representative

First Name

Last Name

Other Names

Birth Date

Gender

MaleFemale

Job Title

Job Description

Country of Residence

Residential Address

Mobile Phone Number

Alternative Mobile Number

Alternative E-mail Address

Preferred method of contact

EmailTelephone

Representative must meet at least 2 of the following criteria

Acknowledgment and Consent

I authorize the Institute to list my name on the appropriate Register of Membership. I agree to be bound by the regulations of the Institute if my application is successful.

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Corporate – Application Form

Join a Pan-African Network of Institutions Committed to Advancing Compliance and Integrity