Male: Female:

Date of Birth (DD/MM/YY):



Address:



Tel:

Education

No School Primary High School College Technikon University

Have you attended any business training programmes in the last two years?

Yes No

If Yes, what type of programmes?

Have you ever applied for a tender?

Yes No

Were you successful?

Yes No

Member of association, e.g. NAFCOC, NHBRC etc.:

Name of Business:



Business Type:

Close Corporation Sole Proprietor Co-operative Partnership Private Company Other

If your business is registered,
please state the registration number below:

Please state your current level of CIDB grading:

Does your organisation have its own Accounting Officer?

Yes No

If yes, state the duration of your relationship with the Accounting Officer:



State the name and contact details of the Accounting Officer:



Do you have a separate business bank account?

Yes No

Are you registered for the following?

VAT:

Yes No

Income Tax:

Yes No

PAYE:

Yes No

SDL:

Yes No

UIF:

Yes No

Compensation Fund:

Yes No


Do you have a tax clearance certificate?

Yes No

Are all your Tax Returns up-to-date?

Yes No

Please state the date of your financial year-end:

Do you have a set of Annual Financial Statements (Balance Sheet, Income Statement, Cash Flow Statement and Statement of Changes in Equity)?

Yes No

If yes, please state the year of the most recent Annual Financial Statements:



Please  state the total value of all the contracts that you are currently working on:



List 3-5 of your company’s major clients