Download FIC membership application form 2

Membership Application Form
(For the FIC internal use only)
I Company Name:
_____________________________________________________
II Details about the Member
Company Headquarters’ Contact Details:
City and Postal Code:
Street:
___________________
____________________________
Phone No:
Fax No:
________________________
________________________
Corporate e-mail:
____________________________
Web-Site (local):
______________________
Web-site (global):
_____________________
Please define your alternate headquarters if any, i.e. branch of your company apart from
your primary HQ:
______________________________________________________
Business Details:
(This information will be treated as confidential and will be used for internal purposes only)
PIB (or PIN):
_________________________
Commercial Bank:
Auditors:
Commerce Registry No:
_______________
______________________________________________________
_____________________________________________________________
Law Office:
___________________________________________________________
PR and Marketing Agency:
________________________________________________
III Contacts
Chief Executive1:
Phone:
____________________________
Financial Director:
Phone:
____________________________________________________
____________________________
(name and function)
___________________________
____________________________________________________
Marketing/Communication Director:
1
E-mail:
E-mail:
___________________________
_______________________________________
Phone:
____________________________
HR Director:
Phone:
E-mail:
___________________________
_________________________________________________________
____________________________
E-mail:
___________________________
Head of Corporate & Regulatory Affairs/Legal Department:
_____________________
___________________________________________________________________
Phone:
____________________________
E-mail:
Personal Assistant to the Managing Director:
___________________________
_______________________________
___________________________________________________________________
Phone:
____________________________
E-mail:
___________________________
Please Name Your Company’s Liaison Officer for the FIC:
___________________________________________________________________
Phone:
____________________________
E-mail:
___________________________
IV Type of Business:
[ ] Production
[ ] Law/Consultancy
[ ] Banking/ Leasing/ Insurance
[ ] Audit/Consultancy
[ ] Services
[ ] Rep. Office
[ ] Media/PR
[ ] Other _____________________
V Type of membership:
Membership in the Council is open to:
A. domestic companies established with substantial portion of foreign capital
B. domestic company which in significant way represents foreign business interest
C. domestic companies that provide consulting services to the FIC membership under specified
conditions
D. natural persons performing registered professional activity in Serbia (registered for the performance
of consulting and legal activities) under specified conditions
The above gain the title of FIC member.
An institutional member of the Council may be any foreign association, representative or educational
institution, which contributes to the development of international economic co-operation and has an
understanding of the goals of the Council.
Honorary members can be natural persons, such as prominent public figures, scientists, diplomats or
politicians from Serbia or other countries, who are able to contribute to the development of international
economic co-operation and agree with the goals of the Council, selected by the Board of Directors as
honorary members based on their distinguished services for the Council.
Please indicate the appropriate type of membership:
[ ] Member by criteria A
[ ] Member by criteria B
[ ] Member by criteria D
[ ] Institutional Member
[ ] Member by criteria C
VI Additional Information:
Total investment of your company in Serbia (EUR):
___________________________________
Number of employees in Serbia:
_____
Percentage of clients - domestic companies established with substantial portion of foreign capital:
_______
Percentage of clients - foreign legal entities with interest to invest in Serbia:
_______
VII FIC Committees:
The mission of the Council is to contribute together with the Authorities to a better investment environment for
foreign and domestic companies on the market, through open, formal and informal dialogue between the
willing stakeholders. In order to achieve the goals efficiently, the Foreign Investors Council has formed
relevant cross functional and sector based working committees.
There are two categories of membership in a Working Committee: Active member and Observer member.
The active member of a Working Committee has the full scope of rights and obligations, including but not
limited to: to actively participate in committee work, control the activities of the committee and execute other
rights in accordance with statutory and committee acts. The observer member has the right to be informed
about the activities of the Working Committee. FIC members can, at any given time, enter into committee
membership, as well as change membership category.
Please indicate the FIC committees of interest, in which representatives of your company would participate in
as well as preferred category of membership per each chosen Working Committee:
Legal
Active member [ ]
or
Observer member [ ]
Human Resources
Active member [ ]
or
Observer member [ ]
Taxation
Active member [ ]
or
Observer member [ ]
Anti-Illicit Trade
Active member [ ]
or
Observer member [ ]
Digital& E-Commerce
Active member [ ]
or
Observer member [ ]
Industrialization& Infrastructure
Active member [ ]
or
Observer member [ ]
Food & Agriculture
Active member [ ]
or
Observer member [ ]
Leasing & Insurance
Active member [ ]
or
Observer member [ ]
Real-Estate
Active member [ ]
or
Observer member [ ]
Telecommunications & IT
Active member [ ]
or
Observer member [ ]
VIII Fees*:
One time entry fee: 550.00 EUR
Annual membership fee:
Board Members: 6,000.00 EUR
Members: 1,850.00 EUR
Institutional Members: 1,000.00 EUR
IX References: Please list representatives of the top management in seven FIC member
companies
Name of the Company:
__________________________________________________
Name and position of the Contact Person:
______________________________________
Phone:
____________________________
Name of the Company:
_____________________________
_____________________________________
____________________________
Name of the Company:
E-mail:
__________________________________________________
Name and position of the Contact Person:
Phone:
_____________________________
_____________________________________
____________________________
Name of the Company:
E-mail:
__________________________________________________
Name and position of the Contact Person:
Phone:
_____________________________________
____________________________
Name of the Company:
_____________________________
__________________________________________________
Name and position of the Contact Person:
Phone:
E-mail:
E-mail:
_____________________________
__________________________________________________
Name and position of the Contact Person:
_____________________________________
Phone:
____________________________
Name of the Company:
E-mail:
_____________________________
__________________________________________________
Name and position of the Contact Person:
Phone:
_____________________________________
____________________________
Name of the Company:
_____________________________
__________________________________________________
Name and position of the Contact Person:
Phone:
E-mail:
_____________________________________
____________________________
E-mail:
_____________________________
X Please, supplement this Application Form with the recent Annual Report and/ or other
record documenting that your company meets the criteria for FIC membership.
The applicant hereby submits a written request for admission into FIC membership,
stating that it is informed and agrees with the Statute and all other general acts of the
Council.
On behalf of the Company
____________________________
Place, date:
_____________________