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INDIVIDUAL MEMBERSHIP APPLICATION FORM

The applicant should be at least 18 years old and qualify to be a director under the law applicable to companies in the relevant jurisdiction. The directors of LEAD reserve the right of admission onto the LEAD Directory.

Your Name *

Your Email *

Phone Number *

Alternative Number *

City *

Country *

Current Position

Name of Organistion *

Partner Level *

Industry

Industry Category *

Attached Professional Headshot *

Updated CV *

Board CV

Professional Summary *

Submit

Individual One Time Membership Fee

To Complete your Membership Approval, you are required to pay the one time membership fee.

Apply Now

Please contact the LEAD Registrar should you require any assistance in completing and submitting the application form or questions regarding the process.
contact membership@leadea.org or call +256 785 200 335.

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