Form Supplier Registration Supplier Registration 1Contact Information2Contact Representatives3Payment Details4Documents5Acknowledgement Registration Type* New supplier Existing supplier updating details Trading Name* Registered Name Legal StructureCompanyClosed CorpSole ProprietorPartnershipCompany Registration Number VAT Registration Number Country Postal Address* Postal code* City* Province* Physical Address*Telephone*Email* What is your core products or in-house speciality?* Account Liaison (will receive remittance)* Email* Contact Number*Supplier Representative 1 (will receive purchase orders)* Email* Contact Number*Designation* Supplier Representative 2 Email Contact NumberDesignation Bank Name* Branch Code* Account Number* Account Name* Documents Drop files here or Select files Max. file size: 32 MB, Max. files: 4. Please attach a copy of the following documents: 1. Valid Tax Clearance Certificate 2. Valid BEE Verification Certificate 3. Bank Confirmation Letter 4. Upload portfolio or catalogue Acknowledgement* I agree I/We the Supplier representative/s warrant that all information contained in this form is true and I/we agree to the terms and conditions.CommentsThis field is for validation purposes and should be left unchanged.
