Corporate/ Pension Fund Membership Application

For Corporate Membership

Full Name of Applicant (required)

Your Email (required)

Trading Name (required)

Postal Address (required)

Registered Business Physical Address (required)

Contact Number (required)

Company Registration Number (required)

NBFIRA License Number (required)

Number of members (including pensioners) (required)

Principal Officer/Representative/Contact Person (required)

ID No. (required)

Postal Address (required)

Physical Address (required)

Contact Number (required)

Alternate Contact Person Number (required)

Alternate Email (required)

I confirm and declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform the society of any changes therein, immediately. I authorize the society to make any enquiries you consider necessary to substantiate any of the above.