::YEAB::

::Driving the Future of the nation::


	It is easy to register as a member of Young Entrepreneurs Association Brunei. Just fill up the form completely and we will immediately process your application. Within a week of submitting, you will be informed of the status of your application. Basic Information Name Preferred Name Personal Title Date of Birth Gender Male Female Membership Type What's Membership Type? Personal Information Home Address Home Phone Home Fax Home Mobile Religion Marital Status Spouse Name Highest Education No. of Children Company Information Business Status Position/Title Company Name Office Address Office Phone Office Fax Office Mobile Pager Email Website Business Sector if Others, please specify Involved in International Trade? Yes No No. of Full-Time Employees No. of Part-Time Employees No. of Contract Employees No. of Local Employees No. of Foreign Employees Company Description Miscellaneous Information Administration Assistant's Name Admininistration Assistant's Phone Admininistration Assistant's Email DECLARATION I authorize the Young Entrepreneurs Association Brunei (YEAB) to secure any information regarding myself and I hereby release any person, firm or institution of all liability for any damage whatsoever from issuing such information. Upon the approval of my application, I also authorize YEAB to include details of my information on the YEAB website, residing on www.YEABrunei.com as part of the listings of members directory with links to my curriculum vitae, professional background and related company website(s). I further declare that the statements made by me in this application are true, complete and correct. A false statement or dishonest answer to any question may be grounds for my immediate discharge from the association, where membership fee refunds will not be applicable.