Form Supplier Registration Supplier Registration 1Contact Information2Contact Representatives3Payment Details4Documents5Acknowledgement Registration Type* New supplier Existing supplier updating details Trading Name*Registered NameLegal StructureCompanyClosed CorpSole ProprietorPartnershipCompany Registration NumberVAT Registration NumberCountryPostal 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 2Email 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.EmailThis field is for validation purposes and should be left unchanged.
