Membership Application Form

Name of MFI / Organization (in Burmese) *

Name of MFI / Organization (in English) *

Name of Head of MFI / Organization

Email *

Phone *

Address of MFI

House No. *

Street / Road *

Township *

City *

Division / State *

Email *

Phone (1) *

Phone (2)

Website

Contact Person

Position *

Email *

Phone

Basic Information of MFI

MFI Type *

Equity(MMK)

Loan Portfolio(MMK)

No. of Clients

Check the type of Membership you apply *

Give at least 5 most active locations of Your MFI Operation

1. Township / City *

1. Division / State *

Date of Submit *

Month

Day

Year

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Myanmar MicroFinance Association