P Member data form

Date*

Company’s name*

Company’s code*

Company’s registration number*

The residence and post code of the company*

Director or contact person*

Name of attorney*

Surname of attorney*

Position of attorney*

Telephone*

Fax*

E-mail*

Web site

Activity description*

Annual turnover

Annual turnover including incomes from the activities of building consulting
and/or supervision

Number of employees

List of accomplished objects*

Commitment to follow the Codex of Ethics*

Other data about the company

(* marked fields are necessary to be filled)

Director                                                                                  Signature