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EO New Delhi Chapter

Preliminary Application Form


*If completing this application electronically, highlight shaded areas and then begin typing.
** To mark check boxes electronically, double-click on desired answer and choose the "checked" option in the "Default Value" box.













Designation
Company Description




Private



Yes   No
Public



Yes  No
Division of
Larger:


Yes  No
Your % Ownership:
100

Yes  No
If you are an interested Director of more than one corporation, please give the information below for each corporation, eliminating duplication of sales volume and number of employees from inter-corporate transactions.
Company Name
1.Please list any groups or organizations (formal or informal), the main purpose of which is to exchange ideas, to which you belong:
2.Please list any groups or organizations (formal or informal), the main purpose of which is to exchange ideas, to which your spouse belongs:
3.Would you consider yourself skilled enough in a particular field or endeavor to be called upon to make a formal presentation during one of our membership meetings? Yes No If Yes, indicate fields.
4.To what societies, clubs or professional organizations do you or your spouse presently belong? Please indicate any leadership positions you or your spouse have held.
Self / Spouse Organization Position
5. Is an EO member in any corporation affiliated with or related to your own company? Yes No
6a. Your Previous Work Experience:
6b. Your Education: Duration
From To
From To
    From To
    From To
From To
    From To
    From To
7. Please list your hobbies in order of preference:
8. Please list your spouse's hobbies in order of preference:
9. In what functional area(s) (marketing, finance, etc.) would you describe yourself as having the most expertise?
10. Please list two personal references below:
Name and Address

Telephone

Relationship to you

Name and Address

Telephone

Relationship to you

Upon receipt of your application, the Membership Chair may contact these references. Thank you for your time in completing this application.
I certify that all information contained in this preliminary application is correct and I understand that if approved, I will be required to complete a formal application for EO membership.
Date:         

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