Intent Form

Name (required)

Telephone (required)

Email Address (required)

Date of Birth (YEAR-MM-DD) (required)

Annual Income (required)

Cac Registration Number

Job performance Capacity (required)

Past Work/Job Reference

State the Engineering Works intended

State the materials supplies type (for supplies contractors only)

Do you or would you subscribe to Mortgage facility for the acquisition of property in Abak Valley City?
YesNo

Tick the options below as an agreement
I/WE as legal person(s) who, after the study of the conditions of Autonomous Community concept applicable to Abak Valley City, desire to register as a member with the intent of participating in the physical, social and commercial development of the City.I/We shall abide by the in-principle allotment of either shares or property to me/us which allotment shall identify me/us as the Member of the City.I/We further accept to join interest with others who fall short of the threshold capacity if need be to have access to any given investment or jobs available to beneficial membership of the City.