Membership Registration Form

Registration Form for NBCC

Section A - COMPANY CONTACT DETAILS

Name of Company

Date of Incorporation

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

P.O. Box

Phone Number

Website

Section B - COMPANY PROFILE

Major Activities

Sector

Turnover for 2025

Turnover for 2024

Turnover for 2023

Number of Employers

Membership of Other Chambers/Association

Chairman

MD/CEO

Section C - ACCREDITED REPRESENTATIVE

First Name

Last Name

Position

Department

Telephone

Email Address

First Name

Last Name

Section D - EXPECTATIONS

Benefits you hope to derive from membership:

Section E - REFEREE

We, the undersigned being financial members of the Nigerian-British Chamber of Commerce, declare that the applicant is known to us and is in our opinion, suitable for admission to membership of the Chamber.

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Membership Number

Date / Time

Signature

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SECTION E – DECLARATION

*(This section must be completed by the MD/CEO)*
We hereby apply for membership of the Nigerian-British Chamber of Commerce and upon admittance agree to be bound by the conditions of membership.
We undertake to pay all subscriptions and dues promptly and declare that all statements made by us on this Application Form are accurate.

First Name

Last Name

Email Address

Designation

Date / Time

Signature

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Membership Registration Form

Section A - COMPANY CONTACT DETAILS

Section B - COMPANY PROFILE

Section C - ACCREDITED REPRESENTATIVE

Section D - EXPECTATIONS

Section E - REFEREE

SECTION E – DECLARATION

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