‘VENDOR REGISTRATION FORM ©@ comsnamasrmcrmuncenur Prwte B40 xrat Tet 908500 4 Tax Clearance Certificate Cored Copies of Company Auetusrome= exes 08247 2. Company Profile Professional Cortteates where applicable 3. Company Registration Certificate : root of Resdence(Servces Aco) 4. Product Brochures fank Statement / Cancelled Cheque uses aooRest DOvNER RESIETAL ADDRESS NATURE OFPRIUARY ACTIMTES CONDUCTED "YP OF ENTERPRISE (wan x) [lor soerromeror [Jaz erernensiie [Jen pusuecsecror [TJ ot couennviewose conporanon [1] 0s orien: Luss, RUST. te | YOUR BUSINES TURNOVERS» Rel we O » O OTT rt) Var REFERENCE NUMBER PREVIOUS TRADE NAME | Te), ee) eee ri LT A EN lw Sl ee a eo » oO eneror omens oso «eH ~ O croatia ook Sanaa coe 2a1 PREMQUSTRADE MMEVENDOR REGISTRATION FORM READ EXPLANATORY NOTES BEFORE YOU COMPLETE. COMPLETE IN BLOCK LETTER: USE ONE BLOCK PER LETTER, INB_ ATTACH THE FOLLOWING DOCUMENTS WHEN SUBMITTING THIS FORM 1. Tax Clearance Certificate 4. Certified ID Copies of Company owners 2. Company Profile 5. Professional Certificates where applicable 3. Company Registration Certificate 6. Proof of Residence(Services Acc) — CHRIS HANI DISTRICT MUNICIPALITY SHBREANL PRIVATE BAG X7121 TEL (046) 808 4600 (QUEENSTOWN 5320, FAX (048) 839 2437 PARTS PARTICULARS OF BANKING DETAILS OF EMPLOVERICOMPANYIOWNERINSITUTION/CLUB ETC 3.1. BANK NAME (THE NAME OF BANK WHERE YOU HOLD ANACCOUNT) 32 ACCOUNT NAME ( THE NAME INTO WHICH THE ACCOUNT ISIN) 33. BRANCH NAME (NAME OF BRANCH IN WHICH THE ACCOUNT WAS OPENED) 34 BRANCH CODE 35 ACCOUNT NUMBER 36 BANK STAMP (TO BE OBTAINED AT THE BANK) 8.7 DECLARATION: FOR BANK USE “This isto certly that o the best of my knowledg [AUTHORISED SIGNATURE OF BANK the above information i rue and correct NAME OF BANK OFFICIAL(PRINT) DATEChfis HAM DISTRICT MUNIPALITY ‘tar atgenae or Semin Provane 6 Stree oem emi [ied ecgmet oun seen imeceeae ene SE ae ‘etseecemttc aapemree eS a isStmumonages 12 Sir Sow 12 Sty ect aeantin 1h pommet hogen 1 Grom Roworrsnatl Rene (inenaten Coane a ‘ tnasa come Sony Se 1 ieee tpsoom