Associate Membership Form - AFRINIC Forms Platforms

APPLICATION FOR ASSOCIATE MEMBER

Membership Type(*)

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Your Full Name(*)

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Passport No(*)

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Upload a copy of your passport(*)

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YOUR INFORMATION

Company Name(*)

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proof of Legal Existence(*)

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Industry(*)

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Contact Person(*)

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E-mail Address(*)

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Phone Number(*)

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General Address(*)

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If the billing address is different from the above address, please add your billing address below:

Billing Address

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YOUR INTEREST

Your interest

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