aepn-form

African EXECUTIVE PROFESSIONAL Network REGISTRATION FORM

Applicant Declaration and Consent: By completing and submitting this form, I confirm that the information provided is accurate and complete to the best of my knowledge. I agree to comply with the African Executive Professional Network (AEPN)’s membership conditions and Code of Conduct. I acknowledge that my personal information and any supporting documents submitted with this application will be handled in accordance with the African CEO Council’s Privacy Policy.

Complete Name and Titles*

Age and Gender*

Current Position / Job Title*

Company/Institution*

Country of residence and country or countries of professional interest*

Email address(es)*

Telephone/WhatsApp*

Annual Membership Fee of US$100 is paid after confirmation of membership and an invoice*

Attach Files: CV, Certificates

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Or email us at info@africanceocouncil.org

Applicant Declaration and Consent: By completing and submitting this form, I confirm that the information provided is accurate and complete to the best of my knowledge. I agree to comply with the African Executive Professional Network (AEPN)’s membership conditions and Code of Conduct. I acknowledge that my personal information and any supporting documents submitted with this application will be handled in accordance with the African CEO Council’s Privacy Policy.

AFRICAN EXECUTIVE PROFESSIONAL NETWORK

African EXECUTIVE PROFESSIONAL Network REGISTRATION FORM

Or email us at info@africanceocouncil.org