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South African GROUP REGISTRATION FORM

All Information is Handled With Confidentiality


COMPANY DETAILS

   Company Name

                P.O.Box           Emirate

                        Tel                 Fax  

          Mobile 050                Email

        Position Held in Company

Brief Description of Company Activities, Products, Services:

PERSONAL DETAILS

Family Name First Name

Spouse's Name    

Children : Names & Ages                                                           

                                                          

                                                          

Nationality or Connection with SA

Tel Fax

Email

Residential Address or Nearest Landmark

Approx Arrival Date in U.A.E.

Contact Person & Tel No in RSA (if applicable)

   


You can reach the SA Group here: Email Charmaine at bruwers@emirates.net.ae

Fax: +971 4 883435


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