::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.

Please fill in all fields marked with a *
Basic Information
Name *
Short Name
Title
Date of Birth *
Gender *	Male Female
Membership Type *	What's Membership Type?
Personal Information
Address *
Phone *
Fax
Mobile
Religion
Marital Status
No. of Children
Company Information
Business Position *
Business Title
Company *
Company Address *
Company Phone *
Company Fax
Official Mobile
Pager
Email *
Website
Business Sector *
Specify if others
International Trade	Yes No
Full Time Employees *
Part Time Employees
Contract Employees
Local Employees
Foreign Employees
Company Description
Miscellaneous Information
Other Contact Name
Other Contact Phone
Other Contact 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.