Vendor Registration Form Vendor Registration Step 1 of 8 12% Company DetailsRegistered Company Name*Trading Name*Company Type*Private CompanyPersonal Liability CompanyPublic CompanyNon-Profit CompanyState-Owned CompanySupply type (Product or Service)*Material SupplierService ProviderBothProduct / Service Category* IT Plant/Workshop Office Supplies Construction Project Management Security/Health & Safety Please select the Main product & service categories that apply to you. When you select the Main category the possible choices in the sub category will become visible.IT Hardware Support Software Please select the product & service categories that apply to you.Plant/Workshop Parts Machinery - Hire Machinery - Sales Service Provider Please select the product & service categories that apply to you.Office Supplies Stationary Printing Please select the product & service categories that apply to you.Construction Additives Aggregates Crushing (Mobile) Aggregates (Crushed & Natural) Asbestos Removal Bituminous Products (Emulsions, Base & Surfacing) Blasting & Rock Breaking Building Bricks Building Blocks Building Contractors Carpentry & Joinery CCTV (Camera Inspections) Ceilings Cement Concrete Pipes / Culverts & Chambers Concrete Tensioning Bearings & Joints Concrete Work Concrete / Core Drilling Covers & Frames Crane Hire & Rigging De-Water & Wellpointing Doorframes Doors Earthworks / Earthmoving Electrical - HV Electrical - MV Electrical - LV (Buildings) Fencing Fire Safety / Systems Floor cover - Tiles Floor cover - Vinyl Floor cover - Laminate Floor cover - Other Formwork & Scaffolding Gabions & Erosion Control General Building Materials Geotextiles & Subsoil HDPE Welding Irrigation Jointing & Waterproofing Laboratories Landscaping Light Protection Mechanical (incl. Electrical & Telemetry) Paint Paving Piling Pipe Cleaning Pipes & Fittings - uPVC Pipes & Fittings - HDPE Pipes & Fittings - GRP Pipes & Fittings - DI Pipes & Fittings - Steel Plant Hire Plumbing Precast Concrete Products - Kerbing Precast Concrete Products - Pavers Precast Concrete Products - Retaining Structures Precast Concrete Products - Decking Precast Concrete Products - Stairs Rainwater goods Readymix Concrete Readymix Pumping Reinforcing & Mesh Retaining Systems Road Marking Road Rehabilitation (incl. Milling & CIR) Road Signs Shoring Solar Geysers Site Clearance / Tree felling Sports Equipment / Fields Steel Doors & Louvres Steel Structures Roofs - Trusses Roofs - Rooftiles Roofs - Metal Sheets Roofs - Other Tanks / Reservoirs - Plastics Tanks / Reservoirs - Metal Tanks / Reservoirs - Other Timber Traffic Control / Traffic Accommodation Valves & Pumps Waterproofing / Linings Window Frames - Timber Window Frames - Metal Window Frames - Aluminium Window Frames - Other Please select the product & service categories that apply to you.Project Management Architect - Structures Architect - Landscape Beneficiary Administration Development Engineering - Electrical Engineering - Traffic Engineering - Geotechnical Engineering - Structural Engineering - Civil Environmental - Practitioners Environmental - Specialists Finance Geotechnical Labs Legal Services Marketing NHBRC Occupational Risk / Health & Safety Project Management Quantity Surveyors Site Supervision / Resident Engineer Surveyors - Land Surveyor Surveyors - Topographical Town Planners Transferring Attorneys Urban Designers Valuators Please select the product & service categories that apply to you.Security / Health & Safety Services Equipment Please select the product & service categories that apply to you.If Other - SpecifyCompany Registration Number*Vat Number*Phone*FaxEmail* Enter Email Confirm Email Website Physical Business Address* Street Address Complex / Business Park City Province Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Business Postal Address* Street Address Complex / Business Park City Province Postal code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Municipal WardCompany Main Location (Province)*Western CapeNorthern CapeEastern CapeFree StateNorth WestKwaZulu-NatalMpumalangaGautengLimpopoCompany Main Location (Town)*City of Cape Town MetropolitanCape Winelands DistrictBreede Valley LocalDrakenstein LocalLangeberg LocalStellenbosch LocalWitzenberg LocalCentral Karoo DistrictBeaufort West LocalLaingsburg LocalPrince Albert LocalGarden Route DistrictBitou LocalGeorge LocalHessequa LocalKannaland LocalKnysna LocalMossel Bay LocalOudtshoorn LocalOverberg DistrictCape Agulhas LocalOverstrand LocalSwellendam LocalTheewaterskloof LocalWest Coast DistrictBergrivier LocalCederberg LocalMatzikama LocalSaldanha Bay LocalSwartland LocalCompany Main Location (Town)*Frances Baard DistrictDikgatlong LocalMagareng LocalPhokwane LocalSol Plaatje LocalJohn Taolo Gaetsewe DistrictGa-Segonyana LocalGamagara LocalJoe Morolong LocalNamakwa DistrictHantam LocalKamiesberg LocalKaroo Hoogland LocalKhai-Ma LocalNama Khoi LocalRichtersveld LocalPixley Ka Seme DistrictEmthanjeni LocalCompany Main Location (Town)*Buffalo City MetropolitanNelson Mandela Bay MetropolitanAlfred Nzo DistrictMatatiele LocalMbizana LocalNtabankulu LocalUmzimvubu LocalAmathole DistrictAmahlathi LocalGreat Kei LocalMbhashe LocalMnquma LocalNgqushwa LocalRaymond Mhlaba LocalChris Hani DistrictEmalahleni LocalEngcobo LocalEnoch Mgijima LocalIntsika Yethu LocalInxuba Yethemba LocalSakhisizwe LocalJoe Gqabi DistrictElundini LocalSenqu LocalWalter Sisulu LocalOR Tambo DistrictIngquza Hill LocalKing Sabata Dalindyebo LocalMhlontlo LocalNyandeni LocalPort St Johns LocalSarah Baartman DistrictBlue Crane Route LocalDr Beyers Naudé LocalKouga LocalKoukamma LocalMakana LocalNdlambe LocalSundays River Valley LocalCompany Main Location (Town)*Mangaung MetropolitanFezile Dabi DistrictMafube LocalMetsimaholo LocalMoqhaka LocalNgwathe LocalLejweleputswa DistrictMasilonyana LocalMatjhabeng LocalNala LocalTokologo LocalTswelopele LocalThabo Mofutsanyana DistrictDihlabeng LocalMaluti-A-Phofung LocalMantsopa LocalNketoana LocalPhumelela LocalSetsoto LocalXhariep DistrictKopanong LocalLetsemeng LocalMohokare LocalCompany Main Location (Town)*Bojanala Platinum DistrictKgetlengrivier LocalMadibeng LocalMoretele LocalMoses Kotane LocalRustenburg LocalDr Kenneth Kaunda DistrictCity of Matlosana LocalJB Marks LocalMaquassi Hills LocalDr Ruth Segomotsi Mompati DistrictGreater Taung LocalKagisano-Molopo LocalLekwa-Teemane LocalMamusa LocalNaledi LocalNgaka Modiri Molema DistrictDitsobotla LocalMahikeng LocalRamotshere Moiloa LocalRatlou LocalTswaing LocalCompany Main Location (Town)*eThekwini MetropolitanAmajuba DistrictDannhauser LocaleMadlangeni LocalNewcastle LocalHarry Gwala DistrictDr Nkosazana Dlamini Zuma LocalGreater Kokstad LocalUbuhlebezwe LocaluMzimkhulu LocaliLembe DistrictKwaDukuza LocalMandeni LocalMaphumulo LocalNdwedwe LocalKing Cetshwayo DistrictCity of uMhlathuze LocalMthonjaneni LocalNkandla LocaluMfolozi LocaluMlalazi LocalUgu DistrictRay Nkonyeni LocalUmdoni LocalUmuziwabantu LocalUmzumbe LocaluMgungundlovu DistrictImpendle LocalMkhambathini LocalMpofana LocalMsunduzi LocalRichmond LocaluMngeni LocaluMshwathi LocaluMkhanyakude DistrictBig 5 Hlabisa LocalJozini LocalMtubatuba LocaluMhlabuyalingana LocaluMzinyathi DistrictEndumeni LocalNquthu LocaluMsinga LocalUmvoti LocaluThukela DistrictAlfred Duma LocalInkosi Langalibalele LocalOkhahlamba LocalZululand DistrictAbaQulusi LocaleDumbe LocalNongoma LocalUlundi LocaluPhongolo LocalCompany Main Location (Town)*Ehlanzeni DistrictBushbuckridge LocalCity of Mbombela LocalNkomazi LocalThaba Chweu LocalGert Sibande DistrictChief Albert Luthuli LocalDipaleseng LocalDr Pixley Ka Isaka Seme LocalGovan Mbeki LocalLekwa LocalMkhondo LocalMsukaligwa LocalNkangala DistrictDr JS Moroka LocalEmakhazeni LocalEmalahleni LocalSteve Tshwete LocalThembisile Hani LocalVictor Khanye LocalCompany Main Location (Town)*City of Ekurhuleni MetropolitanCity of Johannesburg MetropolitanCity of Tshwane MetropolitanSedibeng DistrictEmfuleni LocalLesedi LocalMidvaal LocalWest Rand DistrictMerafong City LocalMogale City LocalRand West City LocalCompany Main Location (Town)*Capricorn DistrictBlouberg LocalLepelle-Nkumpi LocalMolemole LocalPolokwane LocalMopani DistrictBa-Phalaborwa LocalGreater Giyani LocalGreater Letaba LocalGreater Tzaneen LocalMaruleng LocalSekhukhune DistrictElias Motsoaledi LocalEphraim Mogale LocalFetakgomo Tubatse LocalMakhuduthamaga LocalVhembe DistrictCollins Chabane LocalMakhado LocalMusina LocalThulamela LocalWaterberg DistrictBela-Bela LocalLephalale LocalModimolle-Mookgophong LocalMogalakwena LocalThabazimbi LocalBranch Location - Province*Western CapeNorthern CapeEastern CapeFree StateNorth WestKwaZulu-NatalMpumalangaGautengLimpopoBranch Location - Municipality*City of Cape Town MetropolitanCape Winelands DistrictBreede Valley LocalDrakenstein LocalLangeberg LocalStellenbosch LocalWitzenberg LocalCentral Karoo DistrictBeaufort West LocalLaingsburg LocalPrince Albert LocalGarden Route DistrictBitou LocalGeorge LocalHessequa LocalKannaland LocalKnysna LocalMossel Bay LocalOudtshoorn LocalOverberg DistrictCape Agulhas LocalOverstrand LocalSwellendam LocalTheewaterskloof LocalWest Coast DistrictBergrivier LocalCederberg LocalMatzikama LocalSaldanha Bay LocalSwartland LocalBranch Location - Municipality*Frances Baard DistrictDikgatlong LocalMagareng LocalPhokwane LocalSol Plaatje LocalJohn Taolo Gaetsewe DistrictGa-Segonyana LocalGamagara LocalJoe Morolong LocalNamakwa DistrictHantam LocalKamiesberg LocalKaroo Hoogland LocalKhai-Ma LocalNama Khoi LocalRichtersveld LocalPixley Ka Seme DistrictEmthanjeni LocalBranch Location - Municipality*Buffalo City MetropolitanNelson Mandela Bay MetropolitanAlfred Nzo DistrictMatatiele LocalMbizana LocalNtabankulu LocalUmzimvubu LocalAmathole DistrictAmahlathi LocalGreat Kei LocalMbhashe LocalMnquma LocalNgqushwa LocalRaymond Mhlaba LocalChris Hani DistrictEmalahleni LocalEngcobo LocalEnoch Mgijima LocalIntsika Yethu LocalInxuba Yethemba LocalSakhisizwe LocalJoe Gqabi DistrictElundini LocalSenqu LocalWalter Sisulu LocalOR Tambo DistrictIngquza Hill LocalKing Sabata Dalindyebo LocalMhlontlo LocalNyandeni LocalPort St Johns LocalSarah Baartman DistrictBlue Crane Route LocalDr Beyers Naudé LocalKouga LocalKoukamma LocalMakana LocalNdlambe LocalSundays River Valley LocalBranch Location - Municipality*Mangaung MetropolitanFezile Dabi DistrictMafube LocalMetsimaholo LocalMoqhaka LocalNgwathe LocalLejweleputswa DistrictMasilonyana LocalMatjhabeng LocalNala LocalTokologo LocalTswelopele LocalThabo Mofutsanyana DistrictDihlabeng LocalMaluti-A-Phofung LocalMantsopa LocalNketoana LocalPhumelela LocalSetsoto LocalXhariep DistrictKopanong LocalLetsemeng LocalMohokare LocalBranch Location - Municipality*Bojanala Platinum DistrictKgetlengrivier LocalMadibeng LocalMoretele LocalMoses Kotane LocalRustenburg LocalDr Kenneth Kaunda DistrictCity of Matlosana LocalJB Marks LocalMaquassi Hills LocalDr Ruth Segomotsi Mompati DistrictGreater Taung LocalKagisano-Molopo LocalLekwa-Teemane LocalMamusa LocalNaledi LocalNgaka Modiri Molema DistrictDitsobotla LocalMahikeng LocalRamotshere Moiloa LocalRatlou LocalTswaing LocalBranch Location - Municipality*eThekwini MetropolitanAmajuba DistrictDannhauser LocaleMadlangeni LocalNewcastle LocalHarry Gwala DistrictDr Nkosazana Dlamini Zuma LocalGreater Kokstad LocalUbuhlebezwe LocaluMzimkhulu LocaliLembe DistrictKwaDukuza LocalMandeni LocalMaphumulo LocalNdwedwe LocalKing Cetshwayo DistrictCity of uMhlathuze LocalMthonjaneni LocalNkandla LocaluMfolozi LocaluMlalazi LocalUgu DistrictRay Nkonyeni LocalUmdoni LocalUmuziwabantu LocalUmzumbe LocaluMgungundlovu DistrictImpendle LocalMkhambathini LocalMpofana LocalMsunduzi LocalRichmond LocaluMngeni LocaluMshwathi LocaluMkhanyakude DistrictBig 5 Hlabisa LocalJozini LocalMtubatuba LocaluMhlabuyalingana LocaluMzinyathi DistrictEndumeni LocalNquthu LocaluMsinga LocalUmvoti LocaluThukela DistrictAlfred Duma LocalInkosi Langalibalele LocalOkhahlamba LocalZululand DistrictAbaQulusi LocaleDumbe LocalNongoma LocalUlundi LocaluPhongolo LocalBranch Location - Municipality*Ehlanzeni DistrictBushbuckridge LocalCity of Mbombela LocalNkomazi LocalThaba Chweu LocalGert Sibande DistrictChief Albert Luthuli LocalDipaleseng LocalDr Pixley Ka Isaka Seme LocalGovan Mbeki LocalLekwa LocalMkhondo LocalMsukaligwa LocalNkangala DistrictDr JS Moroka LocalEmakhazeni LocalEmalahleni LocalSteve Tshwete LocalThembisile Hani LocalVictor Khanye LocalBranch Location - Municipality*City of Ekurhuleni MetropolitanCity of Johannesburg MetropolitanCity of Tshwane MetropolitanSedibeng DistrictEmfuleni LocalLesedi LocalMidvaal LocalWest Rand DistrictMerafong City LocalMogale City LocalRand West City LocalBranch Location - Municipality*Capricorn DistrictBlouberg LocalLepelle-Nkumpi LocalMolemole LocalPolokwane LocalMopani DistrictBa-Phalaborwa LocalGreater Giyani LocalGreater Letaba LocalGreater Tzaneen LocalMaruleng LocalSekhukhune DistrictElias Motsoaledi LocalEphraim Mogale LocalFetakgomo Tubatse LocalMakhuduthamaga LocalVhembe DistrictCollins Chabane LocalMakhado LocalMusina LocalThulamela LocalWaterberg DistrictBela-Bela LocalLephalale LocalModimolle-Mookgophong LocalMogalakwena LocalThabazimbi LocalThe full name of the Service Provider's Relationship Manager (the contact person for the transaction)* First Middle Surname Contact number for the Service Provider's Relationship Manager*Contact e-mail for Service Provider's Relationship Manager* Enter Email Confirm Email Name of the person who will sign the Agreement on behalf of the Service Provider* First Middle Surname Registrations (Service Providers)Cidb Registration In Place Yes No Cidb Categories*Bargaining Council Membership Yes No Bargaining Council*BCCEIBIBC (Cape of Good Hope)BBC (North West and Boland)BIBCPEMEIBCIndustry Affiliations & Active Memberships (Suppliers and Service Providers)* BBBEEBBBEE Level*1 - 100 + points - 135% procurement2 - 85-99.99 points - 125% procurement3 - 75-89.99 points - 110% procurement4 - 65-74.99 points - 100% (Fully Compliant)5 - 55-64.99 points - 80-% procurement6 - 45-54.99 points - 60% procurement7 - 40-44.99 points - 50% procurement8 - 30-39.99 points - 10% (Non-Compliant)BBBEE Expiry Date* DD slash MM slash YYYY Do you have a BBBEE Certificate?* Yes No If No please upload Affidavit below BBBEE Certificate NumberBBBEE Certificate/ Affidavit Upload Drop files here or Select files Max. file size: 458 MB. BBBEE Designation Representative Email* Enter Email Confirm Email BBBEE Certification AuthorityCertificate Measured Under*Generic SectorConstruction SectorOther SectorOwnership Score*Management Participation Score*Procurement Score*Company Responsible Person*Email address of Responsible Person* Enter Email Confirm Email BBBEE Classification*EMEQSEGenericNil% Black owned*10-20%20-30%30-40%40-50%50-60%60-70%70-80%80-90%90-100%% Black Woman*10-20%20-30%30-40%40-50%50-60%60-70%70-80%80-90%90-100%Designated Group Supplier*YesNo% Designated Group Supplier*10-20%20-30%30-40%40-50%50-60%60-70%70-80%80-90%90-100% Banking DetailsBank Name*Branch Name*Account Number*Branch Code*Account Holder* Supporting DocumentsCompany Registration Document CertificateMax. file size: 458 MB.Proof of Banking or MCOI for SA VendorsMax. file size: 458 MB.Tax Clearance Certificate (if applicable)Max. file size: 458 MB.VAT Registration Certificate (if applicable)Max. file size: 458 MB.Business ProfileMax. file size: 458 MB.Other Drop files here or Select files Max. file size: 458 MB. Conflict of InterestAre you or any of your direct family employed at any ASLA Group CompanyYesNoOne of our employees, shareholders or directors work for ASLA or a Subsidiary of ASLA A direct family member of one of our employees, shareholders or directors work for a ASLA or Subsidiary of ASLA Employee Shareholders or directors of our company are employed by an Organ of State or State Owned Entity. Direct family member means Parent, Child, Spouse, Life Partner.Nature of Family Relationship & ParticularsDo you have extended family or friends working at any ASLA Group CompanyFirst ChoiceSecond ChoiceThird ChoiceNature of Relationship & Particulars ASLA InfoSignature* {all_fields} Δ
