Friday, 23 February 2018

R Register Online

APPLICATION FOR MEMBERSHIP
Membership type (*)
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Name (*)
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telephone (*)
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STD (*)
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Fax (*)
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Email (*)
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Date (*)
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Signature (*)
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Name
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Office held
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(Please fill in either Part II, lll, lV, V, VI or VII as may be applicable – See notes attached)
Part II
GROUP MEMBERSHIP (Classes A, B or C)
Value of output of group
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Number of employees employed
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Where production has not yet commenced give a forecast of the approximate value of a full year’s production and the number of employees to be engaged:-
Production $
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Labour
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2 Represantatives of the company
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Telephone1
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Telephone2
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Details of subsidiary companies engaged in mining/exploration/mining finance/mining contracting which are controlled or administered by the principal company.
Name and Address of Company
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Telephone of Company
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Operating Mines(where applicable)
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Reprentative 1
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Part III
SINGLE COMPANY MEMBERSHIP (including syndicates) (Classes A, B or C) Names of all mines operated by the Company:
SINGLE COMPANY MEMBERSHIP
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Names of all mines operated by the Company:
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Value of output of all mines $
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Number of employees as at 31 December
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Where production has not yet commenced give a forecast of the approximate value of a full years production and the number of employees to be engaged:-
Production $
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Labour
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Names and Telephone of (2) company representatives on the Chamber:-
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We do not control or administer any other companies in Zimbabwe which are engaged in mining/exploration/mining finance/mining contracting. Yes/ No
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Part IV
SMALL WORKER, EXPLORATION OR CONTRACTOR COMPANY MEMBERS (Class D)
We are engaged in:-
a. Exploration
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b. Civil Engineering
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c. Smallworker
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d. Shaft Sinking
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(In the case of b or d state on which mine(s))
Names and Telephone of (2) company representatives on the Chamber:-
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We are not controlled or administered by any company which would be entitled to Class A, B or C membership. Yes/No
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Part V
PROVIDERS OF SERVICES AND GOODS TO THE MINING INDUSTRY (Class E)
We supply the following goods or services to the mining industry:-
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Representative
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Telephone
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Part Vl
ASSOCIATION MEMBERSHIP (Class F)
Properly constituted Associations of Smallworkers, Mine Managers, Mine Engineers, Metallurgists, Geologists or Surveyors, District Mining Associations ,or any other Association that is related to the mining industry.
Name and function of the Association
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Represantative
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Telephone
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Part VII
INDIVIDUAL AND ASSOCIATE MEMBERS (Class G)
a. I am operating the following mines* on my own account:-
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*None of them is a registered company.
Associate Members
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ADDITIONAL INFORMATION
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FOR OFFICIAL USE ONLY
Membership in Class approved by the Executive Committee and year
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Initial subscription ammount and assessed year
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Labels Address List
DATE ACTIONED
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INITIALS
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Email Address List
DATE ACTIONED
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INITIALS
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Membership Register
DATE ACTIONED
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INITIALS
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Chamber of Mines Journal
DATE ACTIONED
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INITIALS
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Confirmation Sent
DATE ACTIONED
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INITIALS
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File
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Class
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