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 certified BBBEE Certificate o)

TABLE 8: BOARD MEMBERS Please indicate percentage BEE control at board level if any. Additional Documentation to be attached: Full name Designation Exec/ Non

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  Form, Database, Control, Registration, Database registration form

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