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Membership Application Form

Note:
* Please click here to view numbered instructions for each item, or by moving your mouse over the question mark icon.
* Fields marked with * are mandatory
* If your membership is rejected, your membership fee will not be refunded
User Name & Password 
   User Name* 

    Password*       confirm*
Personal Photo  
(1) Application Type *


Type Application Fee Annual Subscription
Corporate* 0 10000
Individual 0 300
Research Institution 0 2000

 
(2) Personal Details 
Title*                               Family Name*

First Name*             Alias   

Gender*   

Date of Birth*  | Nationality*

    Educational Qualification
              Subject(s)

(3) Personal Contact Details At least one entry is compulsory.

Phone        Mobile 
Fax              Email*   
  
(4) Business Contact Details

Organization Name                Department 

Job Title                                    Email           

Telephone                   Fax            

  
(5) Postal Address

P.O.Box / Postal Code      Address

City              Emirate / State / Province  

Country   
(6) Preferred Contact Options
Preferred Phone Contact:  |    Preferred Email Contact:
(7) Preferences*  Tick as many as apply.
Information that helps me perform my role more effectively
Having access to professional development programmes
Information about the latest developments in governance thinking
Opportunities to be involved in local activities and events
Opportunities to share my experience and insights
Networking for contacts locally and regionally
Belonging to a professional community
Being part of a prestigious organization
Being part of an organization that helps shape policy and community thinking on business issues
(8) I would like to be informed about*  Tick as many as apply.
Events and Activities
Accounting & Auditing Practices
The Annual Conference
International Meetings and Courses
Local Meetings
Executive Remuneration
Shareholder Responsibilities
Advisory Services
Corporate Governance Principles
Other Facilities for members
Special Membership offers
Non Financial Disclosure
Cross Border Voting Practices
Security Lending
Shareholder Rights
(9) Type of Organization
Accountancy or Audit
Banks
Consultant or Service Provider
Custodian
Family Owned Enterprise
Insurance / Reinsurance
Islamic Financial Institutions
Law Firm or Lawyer
Listed Companies
Management
Mutual Fund
Pension Fund
Private Equity
Private Individual
Professional or Government Association
Regulatory Body
       (Central Bank, Ministry, Capital Market Authority)
Research
State Owned Enterprises
Other
If you are an investor, please indicate the size of assets under management (in $)
(10) Corporate Members
   Full Name                     Full Name                 
    Organization Name     Organization Name  
   Job Title                        Job Title                    
   Telephone                    Telephone                
   Email                            Email                        
(11) Applicant Consents
a.* I agree to the terms and conditions of the Personal Data Protection and
       Application Statement.
b.   I agree to have my name and preferred contact details available,to members only,
             on the HICG website.

       Please tick at least one    Postal Address, Email Address, Phone

c.  I would like to participate in Hawkamah Task Forces.
      (we will send you an invitation to the link on our website after your registration)

Please tick as many as apply

Bank Task Force    Insurance Task Force    State Owned Enterprises    Insolvency    
(12) General Details
How did you hear about the HICG?
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