Apply For Endorsement

APPLICANT DETAILS

First Name: Middle Name: Surname: Designation: Email: Phone Number:

COMPANY DETAILS

Name of Company: Year of Incorporation:
Address: Company Email: Telephone: What does your company do? Describe humanitarian work done by your company in Africa: Country: Province/State: Upload Photo and Videos:

BUSINESS COVERAGE

FIRST DIRECTOR’S DETAILS

First Name: Middle Name: Surname: Email Address: Phone Number:

SECOND DIRECTOR’S DETAILS (IF ANY)

First Name: Middle Name: Surname: Email Address: Phone Number:

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