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(ARICSA) Membership Application Form
Honorable Membership Application Form
Amhara Regional State Energy Association (ARICSA) Membership Application Form
Full Name
Title/Profession
Organization Name
Organization Type (Select all that apply)
Importer
Distributor
Manufacturer
Assembler
Research Institution
Association
NGO
Government Agency
University/Educational Institution
Financial Institution
Other
Nationality
Ethiopian
US
UK
ID Number (If Applicable)
Address
Phone Number
Email
Website
Year of Establishment
Number of Employees
Country of Registration
Ethiopian
US
UK
Description of Activities
Zones of Operation (select all that apply)
North Gojam
North Gondar
North Wollo
West Gojam
South Gondar
East Gojam
North Showa
South Wollo
Central Gondar
Kemissie
West Gondar
Why are you interested in joining ARICSA? (select all that apply)
Networking opportunities
Access to industry resources
Collaboration with members
Advocacy and policy engagement
Participation in ARSEA events and training
Other
Membership Category
Enterprise (2,000 ETB)
Honorary (5000 ETB)
Description of Main Activities Business Type
Government
Private
NGO
Educational Institution
Financial Institution
International Organization
Contact Person Name
Contact Person Phone Number
Contact Person Email
How Did You Hear About ARSEA? (select all that apply)
Website
LinkedIn
ARISCSA Staff/Board Member
Media
Other
Please upload your company's Trade License and TIN Certificate.
Company Profile (Optional)
Send
Honorable Membership Application Form
First Name
Last Name
Email
Address
Street Address
City
State/Province
Postal / Zip Code
Country
Webiste (if applicable)
Organization Type (select all that apply)
NGO
Government Agency
Financial Institution
Association
Other
Browse Files
Phone Number
Membership Type
Honorable Membership
Voluntary Membership
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