REGISTRATION FEE: D500.
00
GCCI REGISTRATION FORM
Basic Information:
Company Name
Address WhatsApp No.
Region TIN/Business Reg.
General Phone Number Date Issued
CEO/ Manager’s Email Date Established
Accounting Dept. Email P.O.Box
General Office Email
Business Info:
Ownership: ☐ 100% National-owned ☐ 100% Foreign-owned ☐ Half/half
☐ Mainly Foreign-owned ☐ mainly national-owned ☐ others
Legal Status: ☐ Ltd. Liability Co. ☐ Partnership ☐ NGO ☐ Sole Proprietorship ☐ State Owned Corp.
☐ Association ☐ partly state-owned company ☐ Public Corporation ☐ Private Corporation
Business Classification:
Further information which may be of interest to your potential buyer/supplier/partner: (e.g. type of Business preferred, Joint venture, etc.)
Trading
(what major items of articles)
Manufacturing
(what major items of articles)
Service
(what type of services)
Any other information
Banker(s)
☐ Agriculture ☐ Communication ☐ Construction ☐ Education ☐ Engineering
☐ Export/Import ☐ Food Processing ☐ General Trading ☐ ICT ☐ Manufacturing
☐ Real Estate ☐ Transport/Logistics ☐ Mining ☐ Travel ☐ Tourism
☐ Consulting ☐ Banking & Finance ☐ Legal Services ☐ Fashion & Textile ☐ Cleansing Services
Business Sector
☐ Carpentry ☐ Media/Printing ☐ Art & Craft ☐ Others
☐ Restaurant & Fast Food ☐ Clearing & Forwarding
☐ Petroleum Products & Services ☐ Beauty Salon & Supplies
☐ Cars, Spare Parts & Motor services
Total No. of Employees Management
Employees Total No. of Female Employees Total No. of Male Employees
Total No. of Permanent Employees Total No. of non-Permanent Employees
Membership Status: ☐ New ☐ Renewal
Type of Member: ☐ Direct Member ☐ Association ☐ Indirect Member
How did you hear about GCCI (Main source of recruitment ) : ☐ Conference ☐ Existing member of GCCI ☐ Referrals
☐ Website/Social Media ☐ Advertisement ☐ calls Others (please specify) ………………………………………………………
Membership Category:
Category A Extra Large Business D50,000 Six (6) Votes
Category B Large Business D20,000 Five (5) Votes
Category C Medium Business D15,000 Four (4) Votes
Category D Small Business D7500 Three (3) Votes
Category E Micro Business D5,000 Two (2) Votes
Category F Start-Up D2,500 One (1) Vote
Woman Entrepreneur: ☐ Yes ☐ No Youth Entrepreneur (15 – 35years) : ☐ Yes ☐ No
Name(s) of
proprietor
Partners
Directors
We ………………………………………………………………………………………………………………………………………………………………………….……………………………………………
(State name of company)
Hereby apply for membership of GCCI and if accepted, agree to abide by the rules and regulations of the Chamber as may be laid down from
time to time.
Person Submitting the Above Information:
Name Signature / Stamp
Position
Email Address
Phone number
Date of Registration
FOR OFFICAL USE ONLY
GCCI Staff Signature
Date
Signature
______________________________
Approved by CEO
Kerr Jula Bertil Harding Highway, Bijilo, West Coast Region P.O Box 333 Banjul, The Gambia
Phone: +220 446 3452 Email: [email protected] Website: www.gcci.gm
