CHAMBER OF BULLION TRADERS GHANA MEMBERSHIP APPLICATION FORM

Name Of Applicant(required)

Name of Business (required)

Date of Incorporation (required)

Attach Copies of Certificates

Office Address/Location(required)

Town(required)

Region(required)

Email (required)

Office Phone (required)

Personal Phone

Type/Nature Of Business

Operating Licence Number

Personal Phone

Type/Nature Of Business

Operating Licence Number

Tax Identification Number (TIN)

*DECLARATION, REPRESENTATIONS & WARRANTIES
I, the applicant herein conscientiously and solemnly state that the information given herein before are to the best of my knowledge and belief true and honest and i further declare that the source and nature of my business is legitimate and free from crime or criminal origin in accordance with the laws of Ghana and international laws and resolutions to which the republic of Ghana is a signatory and I further commit to the constitution of the chamber and its amendments thereof, regulations, directives of the chamber, the laws of Ghana, the united nations and international community on gold business.