Full/Associate Membership Application

2021 Zimbabwe CEO's Network Full/Associate Membership Application Form

The ZImbabwe CEO’s Network is committed to upholding of good Corporate Governance and Professional Leadership through it’s Association with Stakeholders.

Personal Information

Membership Category

Gender

First Name(s)

Surname

Phone Number

ID Number

Email Address

Home Address

Next of Kin Name

Next of Kin Number

Company Details

Company Name

Company Address

Your Department

Your Position

Experience(Years)

Academic Qualifications

Declaration

Please read the following carefully before signing the form:

Acceptance

The information supplied is true and I do hereby agree to abide by the rules and regulations of the Zimbabwe CEO’s Network as set out in the constitution and by-laws. I undertake to pay my ZNC Membership fees on the due date. If I fail to pay my status will not be valid and ZNC can terminate the status within 6 months without prior notice.

Date Signed

Initials

Payment Details

Annual Subscription: $ZWL 20000/ $USD200 (Full/ Associate Membership)

Method of Payment

TRANSFER DETAILS:

Account name: Zimbabwe CEO’s Network

Bank: BancABC Zimbabwe

Account number:

Branch:

Swift code:

ZIMBABWE CEO’S NETWORK

69 SAMORA MARCHEL AVENUE

Harare

Website: www.zimceo.co.zw

2021 Zimbabwe CEO's Network Full/Associate Membership Application Form

Personal Information

Company Details

Declaration

Payment Details

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