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  Name Of Business    
  Postal Address    
  Physical Address    
  Physical Location Of Head Office (Town Or Nearest Town)    
Telephone  
  FAX    
  Email Address    
  Contact Person Name    
  Contact Person Mobile No.    
  Company Registration No.    
Company / Enterprise Income Tax No.
Pan No.  
VAT Registration No.  
Service Tax No. (If applicable)  
Type Of Business  
 
 
 
 
List the principle business activities categories to be registered for as a supplier / contractor / service provider  
Did the firm exist under a previous name? (Check whichever is applicable)
If yes, What was its previous name? 
Why was it changed?
List the previous owners / partners / directors
Complete the following information in respect of each partner, proprietor, director and officer of the firm (viz, chairperson, secretary, director etc.)
Name  Title  % Of Time Devoted To Firm Physical Address
Identify any owner or management office bearer who has an ownership interest in another firm:
Owner / Manager  Name & Address Of Other Firm  Title In Other Firm % Of Ownership In The Other Firm Type Of Business Of Other Firm
Identify any owner or management office bearer who is an employee of or has duties in another firm / business enterprise.
Name  Duties As Employee In Other Firm  Name & Address Of Other Firm Type Of Business Of The Other Firm
How many permanent staff members are employed in the business?
Full Time  :
Part Time :
List key members of the organization :
Name Designation  Area Of Operation Email Address Phone No.
List major items of equipment, plant and vehicles owned by the firm.
Item  Quantity  Present Financial Liability (RAND)
Particulars Of Bank Accounts
Name Of Bank Address Phone No.
List a maximum of five contracts which your firm is engaged in at present and have not yet completed.
Contract Description Location Employer Contract Amount Key Contact Person & Their Phone No.
         
           
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