ABTO Membership1

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REGISTRATION FORM

1. Name of the Company : ....................................................................................................................

2. Name of the Proprietor : .................................................................... Sex : ....................................

3. Trade License Number : ........................................... 4. Date of License Issue : .............................

5. Postal Address : ................................................................................................................................

6. Telephone Number (s) : ......................................................... 7. Fax Number (s) : .........................

8. Mobile # : .........................................................................................................................................

9. E-Mail Address (s) : ........................................................................................................................

...............................................................................................................................................................

10. Website : .........................................................................................................................................

11. Additional Information : .................................................................................................................


(Location of office, etc.)

Authorised Signatory :
Name :
Designation :
Date :

Kindly please contact ABTO office in case of any changes in the above information.

--------------------------------------------------------------------------------------------------------------------------------
P.O. Box No. 938, Thimphu:Bhutan
Tel : +975-2-322862, Fax: +975-2-325286
Email: info@abto.org.bt
www.abto.org.bt

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