ICMC GHANA CORPORATE MEMBERSHIP APPLICATION

INSTITUTE OF CERTIFIED MANAGEMENT CONSULTANTS-ICMC GHANA

CORPORATE MEMBERSHIP APPLICATION/REGISTRATION FORM
Corporate Name
Contact person for corporate members
Corporate telephone
Please enter a valid phone number.
Corporate Email
example@example.com
Corporate Legal Status (attach registration certificates)

Cancelof
Corporate membership or affiliations
Description of Corporate Organizational Mandate
Vision
Mission
Goal
Objectives
Activities
Corporate Consulting Experience
Common Body of Management Consulting Knowledge
Areas of Management Consulting Focus
Type of clients

CORPORATE MEMBERSHIP
(Choose as relevant below and indicate amount of fees attached for your chosen membership type; consult ICMC mandate paper and fees schedule for description of membership types and fees)

Full Corporate MemberAssociate Corporate MemberAffiliate Corporate MemberAccredited Consultancy Practice (ACP)Priority Services for Additional Optional Responsibilities/ Status
(Choose below additional optional status as Foundation Member or Founding Board Member and indicate amount of fees attached for this optional membership (which attracts priority services and considerations in the allocation of benefits and services); consult ICMC mandate paper and fees schedule for description of Foundation Member and Founding Board membership benefits and fees)

Foundation MembershipFounding Board Member
Signature

Clear
Date

MonthDayYear
Date
Name

First NameMiddle Name
Last name
Gender

MaleFemale
Position/ Title
Organization/ Company
Corporate Stamp or Seal
For Office Use Only:

For more information contact;

President, ICMC Ghana

Email: amadehse@gmail.com

Tel: +233241888167
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INSTITUTE OF CERTIFIED MANAGEMENT CONSULTANTS-ICMC GHANA