annex 2 registration form for eia consulting firms …119.92.161.2/portal/portals/21/eia...
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Annex 2
Region of Registration : ________
Contact Person Position
SEC Registration #:
Registration No.
Name of Project Date
Position in Firm/Company Date
Remarks : __________________________________________________________________________
Noted By:
Date
REGISTRATION FORM FOR EIA CONSULTING FIRMS
I.General Information
E-mail Address
Business Address to be published
at Website/DirectoryTelephone
No.
Fax No.
Name of Firm
Date of Establishment
For EMB use only
III. List of EIA Reports Prepared (Specify report type)
I confirm that the information provided are true and correct
I understand that all the details provided are subject for verification
Signature & Printed Name
Names
Registration Number
II. List of Registered EIA Practitioners
Area of Expertise
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