Apply for group membership of a voting member's group

Company details

To be completed by the applicant

Company name

Name of Directors

Company address in full

Country

Phone number

Fax number

Email address

Website address

Date of Formation of the Body Corporate

Date

Full description of the Body Corporate's scope and activities

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

Yes

No

From what date?

Date

Description of the applicant's relationship with the Nominating Voting Member

Length of time that the applicant has been in a group relationship with the Nominating Voting Member

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

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.

Most recent audited/certified financial accounts are attached dated

Date

Most recent audited/certified financial accounts are attached

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

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 a Group 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.

Nominating Member

To be completed by the applicant

Voting Member of the Federation who will Nominate this application

After you have submitted your application, the Nominating Member will be contacted to confirm that they agree to Nominate your application.