Vendors

VENDOR APPLICATION FORM

Company Name

Company Registration Number

Telephone

VAT Reg Number

Physical Address

Contact Name & Title

Cell phone Number

Postal Code

VENDOR OVERVIEW

General Details of Services / Goods

Date Submitted

Valid Service Permit

Website

Province

Other

Additional Information

PRODUCT / SERVICES INFORMATION

Name of Product

Average Price

Estimated Number of Services

CONTACT PERSON – Managing Director / Owner

Contact Name

Cellphone

TRADE REFERENCE

Please provide two references of customers and two references of suppliers that your organisation has dealt with in the last two years.

Customer's Organisation Name

Contact Name

Cellphone Number

Scope of goods and work or services rendered

Supplier’s Organisation Name

Contact Name

Cellphone Number

I confirm that the information provided is accurate and consent to the processing of my personal and business information for vendor registration and compliance purposes in terms of POPIA. I understand that submission does not guarantee procurement or approval