Documents on Entry

31.10.2013

On the letterhead of organization

To the General Meeting of Members/

The Board of the Ukrainian Seed Partnership Association

Statement

on entry to the Ukrainian Seed Partnership Association

I, signed hereinafter, ____________________________________________________________________

(First name and Surname)

_________________________________________________________________________________

(Position)

________________________________________________________________________________

(Full name of the legal entity)

________________________________________________________________________________

that is active on the basis of _________________, identifying the requirements of the Statute of the Ukrainian Seed Partnership Association (hereinafter - Association) and committing itself to execute the Statute of Association and Decisions of General Meetings of Associate Members and the Board of Association, apply for an acceptance of indicated enterprise as a participant of the Ukrainian Seed Partnership Association.

We assure to pay an admission fee in the amount of _____________hryvnias within the 30 day period after the approving decision-making concerning entry of our enterprise to the membership of Association (except the cases of exemption from taxation according to the positions of the Statute of Association).

Membership fees will be paid in the term set out by the decisions of Association.

Annex:

1. Completed application form.

2. Minutes of meeting or decisions of holders concerning entry to the Association.

3. For a foreign legal entity: document on the approval of registration in the country of location (extraction from the trade, bank or judiciary registry), legalized in the determined procedure.

4. Letters of recommendation from at least three members of USP Association.

Director ______________

(signature)

«_____» _____________________201_

Application form – of a participant of the Ukrainian Seed Partnership Association

To be filled by the administration of Association (the decision of the Board of Association #_______from_______)

Registration number in the Association_______________

The administration of the Ukrainian Seed Partnership Association will ensure the confidentiality of the information indicated in the application form.

1. Name of the enterprise, registration data

Full name of the enterprise, including the organizational-juridical form
Concise name
Registration number
Date of state registration
Requisite elements of the document on approval of registration of the entity in a country of location (extraction from the trade, bank or judiciary registry)

2.1. Location of the enterprise , according to the document of state registration (juridical address):

Postal code
Region
City
Street
House
Office

2.2. Factual address of the enterprise (if not the same with juridical address)

Postal code
Region
City
Street
House
Office

2.3. Address for the correspondence (if not the same with factual address):

Postal code
Region
City
Street
House
Office

3. Contact with the enterprise:

Telephone number
Fax
E-mail
Http://

5. Information about the administration (director, head of the board or president, their vices on the courses of activities, senior accountant. First name and surname should be indicated in full).

Position	First name and surname	Telephone	Date of birth

6. Contact person appointed for the official relations with the Association:

First name and surname
Position
Telephone
Mobile telephone
Fax
E-mail
Date of birth

7. Number of employees in the enterprise: _____________employees

8. Structural subdivisions (firms, branches, representative offices), that enter into organization (name of subdivision, type of activity, address, first name and surname of the head of subdivision, telephone number, fax, e-mail)

9. Banking details:

Account number		Bank code
in bank

10. Other organizations/associations (including international), that the enterprise participate in:

Name of organization/association	The type of membership	Year of entry

11. Types of activities*:

*) in case of need, add the list and the description of goods and services, that are being provided by the enterprise

12.

Area under crop ______________________________________________________________________

Production volume during the previous year_______________________________________________

Realization volume during the previous year________________________________________________

13. Your view of strategic and operational problems in the fields of breeding, seed production and connected fields, and of your enterprise, the solution of which should be facilitated by the Association:

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Date of filling of the application form: _______________ Director of the enterprise:______________

(Stamp)

Documents on Entry

Documents on Entry

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