2.--------------------------------------------------------------------Name of Director --------------------------- 3. --------------------------------------------------------------- --------------------------- Signature SECTION B For official Action List of attachments SN DOCUMENTS 1 2 Certificate of registration (CAC) Memorandum of Association 3 4 5 Articles of Association Membership List Affidavit of Compliance 6 7 Membership Agreement Receipt of fees 8 Evidence of Publication (if required as part of application) Confirmation of attachment Yes No REMARKS Date of receipt of Application:…………………………………………….. Receiving Officer:…………………………………………………………. Remarks of Receiving Officer: ……………………………………………………………………………… ……………………………………………………………………………… ……………………………………………………………………………… ……………………………………………………………………………… ……………………………………………………………………………… Signature of Receiving Officer:……………………………………………

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