APPLICATIONFORM

for

ORDINARY MEMBER

Acting on behalf of ______

I hereby apply for affiliation to the Association of Business Service Leaders in the Czech Republic as an Ordinary Member.

I declare that I have acquainted with the aims, tasks and rules of the Association provided for in its Articles of Association. I shall actively participate in the Association’s activities, observe the statute and by-laws, as well as pay membership fees on time.

The applicant’s contact details are presented below:

  1. The legal person’s name ______
  1. ID No. (IČO) ______
  1. Registered seat______
  1. Correspondence address ______
  1. Contact person______
  1. Telephone no. ______
  1. E-mail ______

Place ______

Date ______

______
signature
name, surname and the position of the signatory, seal / ______
signature
name, surname and the position of the signatory, seal

SUPPLEMENTARY INFORMATION

The Ordinary Members of the Association may include legal entities operating Shared Services and Business Outsourcing Industry in the Czech Republic.

Decisions on admitting members are made by the Board of Directors following the review of the candidate concerned. The candidatewhich applies for the membership in the Association should submit an application form.

The Management Board may refuse to admit the candidate. In case of refusal, the applicant is entitled to appeal against the refusal to the General Meeting, within 30 days of the date of delivery of the refusal. A resolution of the General Meeting which allows the appeal shall substitute for the Management Board’s decision.

ABSL QUESTIONNAIRE:

# / Question / Answer
1. / Name:
1.1 / Official Name of the Company
1.2 / Also Known As
2. / Country of Origin
3. / If a subsidiary of another company, or part of a group, group's name
4. / Legal Entity Address and Key Data:
4.1 / Street
4.2 / House Number
4.3 / Postal code
4.4 / City
4.5 / Main Phone #
4.6 / Website
5. / Correspondence Address, if different from above
5.1 / Street
5.2 / House Number
5.3 / Postal code
5.4 / City
6. / Head of Center
6.1 / Last Name
6.2 / First Name
6.3 / Position
6.4 / Email Address
6.5 / Office Phone
6.6 / Mobile Phone
7. / Contact Person, if different from above
7.1 / Last Name
7.2 / First Name
7.3 / Position
7.4 / Email Address
7.5 / Office Phone
7.6 / Mobile Phone
8. / Center location(s) – City
9. / Since when activities established in Czechia (year)
10. / Office Profile: / Yes / No / No. of employees
10.1 / Shared Service Center (internal clients)
10.2 / Outsourcing Center (external clients)
11. / Scope of services (for details see below table) / Yes / No / No. of employees
11.1 / Finance & Accounting
11.2 / HR
11.3 / Procurement
11.4 / Customer Service, excl. IT Support
11.5 / Financial Services
11.6 / Decision Support &
Knowledge Process Outsourcing
11.7 / IT
11.8 / Research & Development
(incl. Software Development)
11.9 / Other - please describe
12. / Total Center Employment (current)

Detail scope of services - description (to the point #11):

Area / Detail scope
11.1 Finance & Accounting / Accounts Payable
Travel & Expenses
Accounts Receivable, incl. Credit Management, Order Capture, Invoicing, Cash Application, Collections, Master Data, Disputes
General Accounting, incl. Journals, Reconciliations, Fixed Assets, Cost Accounting, Inter-company reporting
Financial Planning and Analysis
Treasury and Cash Management
Taxation
11.2 HR / Recruitment to Reporting
Rewards & Recognition
Employee Data Reconciliations & Disbursements
Payroll
Incentive Program
Taxation
Time & Attendance
11.3 Procurement / Category Spend Management
Purchase to Pay Processes
E Sourcing Factory
Tactical & Strategic Support
Supplier Management
Inventory Management Fulfilment
11.4 Customer Service, excl. IT support / Customer Care
Contact Centre
Business Process Help Desk
Order Management
Telemarketing
11.5 Financial Services / Banking Services
Insurance Services
Investment Services
Foreign Exchange Services
Other Financial Services
11.6 Knowledge Process Outsourcing / Business Research and Analysis
Market Data Management and Analysis
Documentation Content Management
Legal and Patent Services
Any other knowledge- and information-intensive services requiring domain expertise (other than IT)