SUPPLIERS’ DATABASE REGISTRATION FORM

TABLE 1: ORGANISATIONAL DETAILS Company Name of Business as registered with the Registrar of Companies Trading As Holding Company Company REGISTRATION number Postal Address Physical Address Contact Person: Telephone No: Cellular No: Fax Number e- mail address VAT REGISTRATION number Average annual turnover Which sector does your company belong to? (Refer to Table:9) Core Business (Refer to Table: 12) TABLE 2: BANKING DETAILS (Attach bank stamped proof/copy of cancelled cheque) Name of Bank: Branch Name: Account Number: Type of Bank Account: TABLE 3: BBBEE RATING DETAILS (Attach a certifi)

Name of the station/site/section at which you or the person employed by is connected. connected to the supplier is employed: ..... Position occupied in Umgeni Water: .....

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