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Application Form
Application form ACCUR
* Required
Surname
*
First name (s)
*
Gender
*
Female
Male
Other
Date of birth
Educational level and background
*
Company/Employer
*
Sector
*
Banking
Insurance
Trust
Investment Institution
Asset Management
Fund Administration
Other
Telephone number
*
Personal email address
*
ACCUR member since (year)
*
Are you interested in participating in one of the activities committees of ACCUR or joining the Board of ACCUR
*
Yes, interested in joining the Activities Committee
Yes, interested in joining the Board
No
Maybe
With acceptance of my application I herewith declare I will at all times respect the Articles of ACCUR. I have never been convicted of a crime and that there is no criminal charge pending against me. Furthermore I declare the above provided information is complete and accurate. I herewith release ACCUR and each such person from liability regarding information provided to ACCUR. I understand that any false or misleading statement I have made in connection with this application may be ground for rejection of my application or termination of my membership.
I agree to the above conditions and payment of the membership fee of 250 ANG per year.
*
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