7th Floor SSNIT Emporium
Airport City, Accra
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+233 50 158 3772
info@garia.org
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FORM
INDIVIDUAL MEMBERSHIP APPLICATION
FIRST NAME(S)
LAST NAME
GENDER
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Female
PROFESSION
FIRM/COMPANY
POSTAL ADDRESS
OFFICE ADDRESS
EMAIL
TELEPHONE/MOBILE
Do you have prior knowledge and practical experience of corporate restructuring and insolvency?
Yes
No
If yes: Please indicate years of Restructuring and Insolvency practice:
MEMBERSHIP SUBSCRIPTION
REGISTRATION FEES
ANNUAL SUBSCRIPTION
TOTAL
My cheque is enclosed :
Yes
No
I have made a transfer to GARIA’s account
Yes
No
Please indicate preferred method of contact
Post
Email
Fax
Telephone
DECLARATION
I wish to be a member of the Ghana Association of Restructuring and Insolvency Advisors (GARIA). If accepted, I agree to be bound by the constitution of the Association. I will pay all approved fees at the rate in force and I declare that all statements made by me on this Application Form are correct.
Upload your passport-sized photo: 250x250px
Upload your valid gov't issued ID (Passport, National ID, Voter's ID, Driver's License)
SIGNATURE
DATE AFFIRMED
SUBMIT
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7th Floor SSNIT Emporium, Accra
Mon - Sat: 8:00-17:00
+233 50 158 3772
info@garia.org
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