FAIR Membership Application Form Type Company Association/Federation Training Institute Broker/Consultant select Type Please enter name Select Country Please enter Country Please enter Tel Please enter Fax Please enter Email Please enter Website Please enter Postal Address Working Days Working Days From Working Days To Working Hours Working Hours From Working Hours To Top Managment Please enter name Please enter Position Please enter Tel Please enter Mobile Please enter Fax Please enter Email International Department Please enter name Please enter Position Please enter Tel Please enter Mobile Please enter Fax Please enter Email Establishment Date Year Month Day Class of Business Life Non-Life Composite Takaful Company Capital (National Currency) Authorized Please enter Issued Please enter Paid Up Please enter Subscribed Ownership Please enter National Entities/Individuals Please enter Others from Afro-Asian Countries Please enter Others from Non Afro-Asian Countries Submit