DOE

OD

TMID

TLID

GROUP TYPE

CMP
ORG
CLB
OTH

IF OTHER, PLEASE SPECIFY

GROUP ID NO.

PREV DEGREE REF CLIENT ID NO.

DETAILS

NAME

GROUP DESCRIPTION

INDUSTRY

LOCATION + NEAREST TOWN & CITY

LOCATION DETAILS (OTHER BRANCHES)

PHONE CONTACTS

WEBSITE

EMAIL

WATSAPP

LINKEDIN

FACEBOOK

SOCIAL MEDIA OTHER

SIZE/NUMBER OF LOCAL GROUP

0-5
6-10
11-20
21+

IF 21+ SPECIFY APPROXIMATE NUMBER

SIZE / NUMBER OF COUNTRY WIDE GROUP

ADDITIONAL DETAILS

GROUP DM

DB ENTRY NO

NAME

EMAIL

PHONE

WATSAPP

ADDITIONAL DETAILS

GROUP IF

DB ENTRY NO

NAME

EMAIL

PHONE

WATSAPP

ADDITIONAL DETAILS

COURSE/WS

CORP
EDU
SIMP
HOL
SBC
SCC
CUSTOM

IF CUSTOM, PLEASE SPECIFY