Request For Registration As An Approved Supplier On The Supplier Database Of The Department Trade And Industry Page 5
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11the dti SUPPLIER REGISTRATION FORM 2015/16
IMPORTANT NOTES – Please read carefully
To be completed by all vendors seeking registration as an approved supplier;
The questionnaire must be completed in full and be signed;
All fields on application form MUST be completed by applicant;
Suppliers will be informed of the outcome and will be provided with a supplier registration
number.
Supplier must comply with all the registration-criteria for registration to be finalised - failure to
do so may result in the application being declined.
Application form must be completed in block letters
- illegible documents will not be processed
Supplier Details:
Company / Supplier
Name:
Company / Close Corporation Registration Number
VAT registration number (if applicable):
Income tax reference number:
Web Address:
E-Mail Address:
Telephone Number:
Fax Number:
Toll-Free Number:
Number of full-time employees:
Postal Address: (compulsory)
Physical Address:
Postal Code:
Company/Supplier Classification: (Please the relevant box or boxes)
ISO
Importer Services Manufacturer Repairer Distributor Exporter Sales
Listed
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Parent category: Legal