Registration Form

Download Membership Application Form in .pdf format, .doc format 

Fields marked with (*) are mandatory. 

Membership fees run from 1st January 2016 – 31st December 2016 and will be calculated on a pro-rata basis until the end of the calendar year 

1. Membership type (*) (Select one)

 

CORPORATE MEMBERSHIP

 

Registration for 3 representatives & their spouses

12,900,000VND/year

 

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ADDITIONAL MEMBER TO CORPORATE (1,100,000VND per additional member) An extra representative to an existing corporate membership
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OR

 

INDIVIDUAL/SME MEMBERSHIP


Registration for 1 representative & spouse (Non-transferable)

4,300,000VND/year 

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2. COMPANY INFORMATION

 

Company Name(*)
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Company Sector(*)
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HEAD QUARTER INFORMATION

 

Head Quarter address(*)
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Head Quarter telephone(*)
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Head Quarter fax
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BRANCH INFORMATION

 

Branch address
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Branch telephone
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Branch fax
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3. VOTING REPRESENTATIVE DETAILS – Voting member

 

Title(*)
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First Name(*)
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Middle Name
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Last Name(*)
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Nationality(*)
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Passport number
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Date of birth * (example: 31-12-1975)(*)
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Spouse’s name
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Professional information

 

Job title(*)
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Office address(*)
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Office telephone
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Office fax
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Mobile
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Email(*)
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INTERESTED IN ACTIVITIES IN (CHECK ALL THAT APPLY)

 

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Other (please specify)
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4. OTHER REPRESENTATIVE DETAILS – Non-voting member

 

Title
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First Name
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Middle Name
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Last Name
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Nationality
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Passport number
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Date of birth * (example: 31-12-1975)
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Spouse’s name
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PROFESSIONAL INFORMATION

 

Job title
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Office address
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Office telephone
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Office fax
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Mobile
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Email
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INTERESTED IN ACTIVITIES IN (CHECK ALL THAT APPLY)

 

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Other (please specify)
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5. OTHER REPRESENTATIVE DETAILS – Non-voting member

 

Title
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First Name
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Middle Name
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Last Name
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Nationality
Invalid Input

Passport number
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Date of birth (example: 31-12-1975)
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Spouse’s name
Invalid Input

PROFESSIONAL INFORMATION

 

Job title
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Office address
Invalid Input

Office telephone
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Office fax
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Mobile
Invalid Input

Email
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INTERESTED IN ACTIVITIES IN (CHECK ALL THAT APPLY)

 

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Other (please specify)
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6. CONFIRMATION

 

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Send Membership Form to this email address: (enter your email)(*)
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Enter the characters(*)

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