Membership Application

Please fill out the form correctly. All fields marked '*' are compulsory

    Section 1
    1. Name of company*
    2. Date of incorporation/registration*
    3. Address of Registered Office*
    4. Lagos Address (If different from above including P.O. Box No)
    5. Phone No*
    6. Email*
    7. Website URL
    8. Broad Description of Business*
    9. Core Business Activity*
    10. Other Business Interests
    11. Subsidiary Companies (if any)
    12. Last Annual Turnover/Total Income*
    13. Name of Director or Partners*
    14. Name of representative for chamber matters*
    15. Position held in the company*
    16. Alternative Representative*
    17. Position of alternative representative*
    18. Do you have business relations with any South African Company, if so which one(s)? Please state their Website address
    19. Which other Chambers of Commerce/Business Associative Organization do you belong to?
    20. Would you be able to attend our monthly meetings if your membership is approved?*
    21. Membership Category desired*
    22. Upload company profile (Max size: 2MB, File type: pdf, ppt, doc)*
    Section 2
    1. Proposed by*
    2. Name of company*
    3. Position held*
    4. Seconded by*
    5. Name of company*
    6. Position held*
    1. We wish to be members of the Nigeria-South Africa Chamber of Commerce and, if admitted we will bound by the Memorandum and Articles of Association. We declare that all statements made by us on the Application form are correct