JEQE Management Vendor Application Form

JEQE Vendor Application Form

1. Any legal person, including persons having a kinship with persons employed by JEQE Management, including a blood relationship, may conduct business with JEQE Management. In view of possible allegations of favouritism, it is required that the Service Provider declare such existing relationship for an objective and fair procurement.

2. In order to give effect to the above, the following questionnaire must be completed and submitted with the bid.

2.1 Company Details

Full name of company: Full name of company representative: Email address (to receive confirmation):

2.2 Identity Number: 2.3 Position occupied in the Company: 2.4 Registration number of company, close corporation or trust: 2.5 Tax Reference Number: 2.6 VAT Registration Number:

2.7 Is there any person connected with your company presently employed by JEQE Management?

YES NO

2.7.1 If so, furnish the following particulars: Name of person: Position occupied at JEQE Management:

2.8 Does any person connected with your company have any relationship (family, friend, other) with a person employed by JEQE Management?

YES NO

2.8.1 If so, furnish particulars:

2.11 Does any member/s of your company have any interest in any other JEQE Management activities?

YES NO

2.11.1 If so, furnish particulars:

3. Directors/Trustees/Shareholders/Members

Full Name	Identity Number

Supporting Documentation

We require the following supporting documentation from you, for our records:

Updated Company Profile with CVs of Directors File size must not exceed 2MB.
Certificate of Incorporation File size must not exceed 2MB.
A valid Tax Clearance Certificate File size must not exceed 2MB.
ID copies of all Directors File size must not exceed 2MB.
A Certified BEE Certificate File size must not exceed 2MB.
Bank confirmation no older than 3 months File size must not exceed 2MB.
Proof of Physical Address File size must not exceed 2MB.
Board Resolution giving Authority to Transact File size must not exceed 2MB.
A signed copy of the attached Declaration of Interest Form File size must not exceed 2MB.
Proof of Public Liability (Not less than R10 000 000.00) File size must not exceed 2MB.

4. Declaration

I, THE UNDERSIGNED (NAME) CERTIFY THAT THE INFORMATION FURNISHED IS CORRECT. I ACCEPT THAT THE JEQE MANAGEMENT MAY ACT AGAINST ME SHOULD THIS DECLARATION PROVE TO BE FALSE.

Signature:

Date:

Position: Name of company:

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