Back to Home
Membership Registration Form
Please provide the details below to apply for membership.
Full Name *
Email Address *
Organization
Position
Phone Number
Date of Birth
Office Address
Years of Service in the Company
Years in Supply Chain Industry
PLEASE INDICATE THE CHOICE OF MEMBERSHIP CADRES:
Select Membership Cadre
Supporting the Centre
A SUMMARY OF HOW YOU INTEND TO SUPPORT THE CENTRE AND COMMIT TO CONTINUING PERSONAL AND PROFESSIONAL DEVELOPMENT
Declaration
I CERTIFY THAT ALL INFORMATION PROVIDED IN THIS FORM IS CORRECT AND PROMISE TO ABIDE BY THE TENETS AND BYE-LAWS GOVERNING THE CENTRE IF ADMITTED AS A MEMBER.
Signature (Type Full Name)
Submit Registration Request
