Apply for associate membership

Company details

To be completed by the applicant

Company name

Type

Body Corporate

Unincorporated Association/Firm

Other legal entity (please state below)

Specify Legal Entity

Body Corporate

Name of Director(s)

Name of Company Secretary

Unincorporated Association/Firm

Names of Partners/Members

Name of Manager(s)

Other Legal Entity

Names of Appointed Officers and Principal Beneficial Owners

Company address in full

Phone number

Fax number

Email address

Website address

Date of Formation of the Body Corporate/Unincorporated Association/Firm/or other Legal Entity

Date

Full description of the Applicant's scope and activities

Are you trading in physical cocoa beans and/or products?

Yes

No

From what date?

Date

Applicant's appropriate subcategory of voting membership

Business to Business (BTB) / Processor Sector of the Trade

Business to Consumer (BTC) / Chocolate Industry Sector of the Trade

Production/Exportation

Trade

Is the Applicant part of a group of companies?

Yes

No

Your relationship within the group should be clearly set out and attached to this application

Lead applicant's details

To be completed by the applicant

Please provide the details of a lead applicant for this company. This will be the person who is responsible for the company's application, membership, payment, and managing their account.

Other users can be associated with this company at a later date and the lead applicant can be changed if necessary.

Lead applicant name

Lead applicant email

Lead applicant phone number

Financial information

To be completed by the applicant

Body Corporate

Unincorporated Association/Firm

Other Legal Entity

Capital assets

The total amount of the called up share capital, share premium, retained earnings and other reserves attributable to the equity shareholders or members as disclosed in their most recent financial statements of The Trade.

Capital assets

The total amount of capital invested, retained earnings and other reserves which the business owes to the proprietor, partners or members as disclosed in their most recent annual financial statements of The Trade.

Are you able to provide a copy of your most recent audited/certified financial accounts?

Yes

No

Copy of most recent audited/certified financial accounts are attached dated

Date

Copy of most recent audited/certified financial accounts are attached

If no audited financial accounts are available, other financial reports filed with the relevant national government authority(ies) are attached dated

Date

If no audited financial accounts are available, other financial reports filed with the relevant national government authorities are attached

Details of license or accreditation by a government authority responsible for cocoa in the country where the applicant is domiciled

Please attach a letter from an independent auditor confirming the information set out above. If none of the information requested above can be provided, the Applicant is required to submit to the FCC Secretariat a full statement of case to substantiate the membership application.

Names of beneficial owners whose capital holding exceeds 10% of total issued capital

Name and address of Auditors/Accountants/Government Authorities to whom the Federation may write for reference or confirmation of information given above.

Name of Bankers from whom the Federation may obtain a reference

Date when your account was opened with above Bankers

Date

Please advise if any of the applicant company’s directors/senior managers/senior traders have been previously involved with a company that has defaulted on an Arbitration Award issued by the FCC?

Yes

No

Or any other Association forming part of the Federation of Commodity Associations?

Yes

No

If yes to either of the two previous questions, please provide details below

Memberships held in other Markets and Trade Associations and date elected to such Memberships

Such other information as the Applicant considers relevant to the membership application

Applicant's declaration

To be completed by the applicant

We hereby apply to become an Associate Member of the Federation of Cocoa Commerce Ltd, and if elected, we agree to abide by the Articles of Association and all the FCC Rules and Regulations.

We understand that the Federation relies on e-mail notification to its members and we confirm that the e-mail address supplied is valid for all communications and we will immediately notify the Federation of any change therein.

We hereby certify that the above information is correct.

Name

Date

VAT Registration No.

Proposer & Seconder

To be completed by the applicant

Voting Member of the Federation who will Propose this application

After you have submitted your application, the Proposer will be contacted to confirm that they agree to Propose your application.

Proposer name

Proposer email address

Proposer company

Voting Member of the Federation who will Second this application

After you have submitted your application, the Seconder will be contacted to confirm that they agree to Second your application.

Seconder name

Seconder email address

Seconder company

Proposer approved

This application has been approved by the proposer.

Seconder approved

This application has been approved by the seconder.

Admin comments

Committee comments

Council comments

Review & Submit

To be completed by the applicant