Membership No

5555

Membership category:

First Name :

pathum

Surname :

test

Address :

Contact No (Home) :

Contact No (Mobile) :

Contact No (Office) :

Fax :

0772173965

Email :

Identity Type :

ID Number :

Designation :

I am a :

Women Entrepreneur

Position :

Business/Organization Name :

Industry / Sector :

Nature of Business :

test

Office Address :

test

Province :

test

Turnover for Last financial year :

No of employees :

Professional Qualification :

Proposer :

Second :

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