Company Off-line Registration Form

 

 

You can download a registration form in html format and fill it out.

  • From the file menu choose the "Save As.." command to save the html file on you computer.
  • Fill out the information at your convenience off line.
  • Once back upon clicking submit on the form you will be requested to connect to the Internet and you will be directly connected to Al Jidara site to complete your registration
   
  The fields marked with ' * ' are mandatory.
  Username & Password
 
*Username:
(at least 6 characters, only letters and/or numbers)
*Password:
(at least 6 characters, only letters and/or numbers)
*Confirm Password:
(at least 6 characters, only letters and/or numbers)
  General Information
 
*Company Name : City:
Address 1: *Country:
Address 2: *Telephone:
Please include country & area codes
Address 3: Fax:
Please include country & area codes
P.O.Box: Email:
Postal Code:

Web Site: http://
  Contact Person (1)
 
*First Name: *Email:
*Last Name: Telephone: Ext.
Please include country & area codes
*Title: Mobile:
Please include country & area codes
Position:  
  Contact Person (2)
 
*First Name: *Email:
*Last Name: Telephone: Ext.
Please include country & area codes
*Title: Mobile:
Please include country & area codes
Position:  
  Contact Person (3)
 
*First Name: *Email:
*Last Name: Telephone: Ext.
Please include country & area codes
*Title: Mobile:
Please include country & area codes
Position:  
   
 
How did you hear about Al Jidara site:  
   
Please specify:
   
  * 2- Experience
 
No. of Employees: Previous Year's Revenue (US$):
Years of Operation:
Estimated Revenues for Current Year (US$):
  *Sector Experience
 
Check the boxes that represent the sectors your company oprates in. Indicate the number of years of experience your company has in each. Check the boxes below each sector to give more detailed information.
 
 
Years of Experience

 Agriculture

  Agricultural Financing
  Agriculture-Other
  Crops
  Fisheries
  Forestry
  Livestock
  Water/Irrigation

 Anthropology/Sociology

  Anthropology/Sociology-Other
  Cooperatives
  Rural Development
  Women Development

 Banking & Finance

  Banking & Finance-Other
  Capital Markets
  Commercial Banking
  Regulatory Reform-Financial

 Democracy & Governance

  Customs Reform
  Democracy & Governance-Other
  Election Monitoring
  Legislative/Legal
  Tax Reform

 Economic Policy

  Economic Impact Appraisal
  Economic Policy Other
  Macro-Economic Policy
  Micro-Economic Policy

 Education

  Distance Learning
  E-Learning
  Education - Other
  Higher Education
  Primary Schooling
  Secondary Schooling
  Vocational Training

 Environment & Natural Resources

  Environment & Natural Resources - Other
  Environmental Impact Appraisal
  Natural Resource Management
  Pollution Control
  Wildlife

 Health

  Disease Prevention/Immunizations
  Health - Other
  Health Administration/Planning
  HIV-AIDS
  Reproductive Health

 Infrastructure

  Energy
  Infrastructure - Other
  Telecommunications
  Transportation
  Water/Wastewater

 Institutional Development

  Associations
  Capacity Building
  E-Government
  Institutional Development - Other
  Municipal Reform
  Pension and Social Reform
  Public Administration and Civil Service Reform
  Reform of Publically-Owned Businesses

 Investment & Privatization

  Capital Finance
  Free Zones/EPZ
  Investment & Privatization - Other
  Investment Promotion
  Land Reform

 Micro & Small Enterprise

  Micro & Small Enterprise - Other
  Micro-Finance
  Small Business Development

 Private Sector Development

  Business/NGO Consulting
  IT Industry
  Manufacturing
  Private Sector Development - Other
  Tourism
  Trade
  Venture Capital

 Relief/Post-Conflict/Post-Disaster

  Conflict Resolution
  Food Aid
  Medical Aid
  Political Transition
  Relief Planning/Administration
  Relief/Post-Conflict/Post-Disaster-Other

 Urban & Regional Development

  Local Governance
  Municipal Services
  Transportation Planning
  Urban & Regional Development-Other
  Urban Planning
 
   
  *Functional Experience
 
Check the boxes that represent the type of work your company does. Indicate the number of years of experience your company has in each. Check the boxes below each functional experience for further detail.
 
 
Years of Experience

 Architecture/Engineering

  Architecture
  Civil
  Engineering - Other
  Industrial
  Structural

 Communication/Marketing

  Communications/Marketing - Other
  Market Research
  Media Campaigns
  Public Relations

 Economics

  Economic Policy
  Economic Research
  Economic Theory
  Economics - Other

 Finance/Accounting

  Accounting
  Budgeting
  Finance/Accounting - Other
  Financial Planning
  Financing
  Insurance
  Taxes

 Healthcare Worker

  Healthcare Administration/Logistics
  Healthcare Worker - Other
  Medical Doctor
  Medical Nurse

 Information & Communication Technology

  Communications Technology
  Hardware
  ICT - Other
  Management Information Systems
  Networking
  Software
  Web-Development

 Other Functional Areas

  Human Resource Development/Management
  ISO/Quality Assurance/Quality Control
  Other
  Scientific Research
  Strategy Development

 Policy/Legal Reform

  Legal/Judicial Reform
  Legislative/Constitutional Reform
  Policy/Legal Reform - Other
  Public Policy
  Regulatory Reform

 Project Management

  Administrative
  Performance Measurement /Monitoring /Evaluation
  Project Design
  Project Management - Other
  Senior Management

 Training

  Curriculum Development
  On-Site Training
  Online Training
  Training - Other
  Training of Trainers
 
 
   
  *Regional Experience
 
Check all of the boxes that represent the regions your company oprates in.  Indicate the number of years of experience your company has in each. Check the boxes below each region to give more detailed information.
 
 
Years of Experience

 Middle East

  Bahrain   Iran
  Iraq   Israel
  Jordan   Kuwait
  Lebanon   Oman
  Qatar   Saudi Arabia
  Syria   United Arab Emirates
  West Bank & Gaza   Yemen

 Northern Africa

  Algeria   Egypt
  Libya   Mauritania
  Morocco   Sudan
  Tunisia

 Other Region

 
             Caribbean
             Central Africa
             Eastern Europe