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MBOMBELA LOCAL MUNICIPALITY

1 VENDOR NUMBER MBOMBELA LOCAL MUNICIPALITY SUPPLIER REGISTRATION FORM For Enquiries Contact Supply Chain Management Unit TEL: (013) 759-2358 FAX: (013) 759-9175 EMAIL: 1 NEL STREET BOX 45 NELSPRUIT NELSPRUIT 1200 1200 CLOSING DATE: 17 JULY 2015 COMPANY NAME: COMPANY REG NO: 2 CHECK LIST FOR MLM OFFICIAL _____ FOR OFFICIAL PURPOSES ONLY: Business Name: _____ Registration Number _____ DOCUMENTS ATTACHED Y N NA 1. Company Registration (Certified Copies) Must be latest CIPC 2. Proof of Ownership / Share Certificates 3. Latest Rates and Taxes Statement 4. Proof of Banking (Bank Stamp) 5. Original Tax Clearance Certificate 6. Proof of Registration to a Professional Body Regulating your Industry 7. Certified Copy (ID) of all Directors/Members/Shareholders/Owners 8. Valid BEE Certificate Checked By: .. Date: .. Employee Number: .. FOR OFFICE USE ONLY! Date Received: Date Processed: APPLICATION APPROVED?

3 INTRODUCTION The Mbombela Local Municipality (MLM) hereby invites current and prospective suppliers to apply to be verified and

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