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Application for Contractor Registration Grade 1

Application for Contractor RegistrationGrade 1 Instructions:When completing the Application form: Print clearly, use black ink, and complete all sections relevant to your enterprise. Please submit the entire form to the cidb. Photocopy any pages that do not have sufficient space or add a page for additional information. Applications without relevant supporting documentation will not be processed. See checklist. For more information or assistance, please see our contact details on page of Registration :The Contractor must: pay the relevant administration fee(s), for each class of works applying for; notify the cidb of any change of particulars relating to an existing Registration ; be free from any restrictions to tender; comply with the Code of Conduct for All Parties Engaged in Construction Procurement, as published by the cidb in the Government Gazette no. 25656 of 2003 (also available at: ); and renew Registration every three years for requalification of FormSection AType of Application (please indicate with an x )cidb Registration Number (for registered contractors): _____New Application for registrationAddition of a class of worksUpgrade of class of work status3 year renewalSection BAbout your EnterpriseSECTION B(i): Enterprise Particulars and Banking Details Name of Enterprise: _____Trading as: _____Account name:Account number:Bank:Bank code:B

North West Provincial Office • Mahikeng • cidbnw@cidb.org.za Tel 086 100 2432 • Anonymous Fraud Line 0800 112 432 E-mail cidb@cidb.org.za • www.cidb.org.za

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