supplier database application form - The Health and Welfare Sector ...

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2.10. PREFERRED METHOD OF COMMUNICATION EMAIL FAX POST 2.11. CONTACT PERSON ........................................................................................................... 2.12. UNEMPLOYMENT INSURANCE FUND NO(If applicable) ........................................................................................................... 2.13. COMPENSATION COMMISSIONER REGISTRATION NO (If applicable) ........................................................................................................... 2.14. INCOME TAX REFERENCE NO ........................................................................................................... 2.15. P.AY.E NUMBER (If applicable) ............................................................................................................ 2.16. VAT REGISTRATION NUMBER ............................................................................................................ 3. BANKING DETAILS 3.1. NAME OF THE BANKING INSTITUTION ............................................................................................................ 3.2. BRANCH NAME ............................................................................................................ 3.3. TOWN/CITY ............................................................................................................ HWSETA SUPPLIER REGISTRATION FORM Page 4
3.4 .BANKING ACCOUNT NUMBER ............................................................................................................. 3.5. ACCOUNT HOLDER NAME (Name under which account is operated) .............................................................................................................. 4. TYPE OF BUSINESS Please tick the appropriate box PUBLIC COMPANY LTD PRIVATE COMPANY (PTY) LTD CLOSE CORPORATION CC SOLE PROPRIETOR PARTNERSHIP TRUST JOINT VENTURE CONSORTIUM SECTION 21 COMPANY GOVERNMENT OTHER (Specify) HWSETA SUPPLIER REGISTRATION FORM Page 5
Page 1 and 2: SUPPLIER DATABASE APPLICATION FORM
Page 3: HWSETA SUPPLIER DATABASE APPLICATIO
Page 7 and 8: I/WE THE UNDERSIGNED ACKNOWLEDGE(S)
Page 9 and 10: HWSETA SUPPLIER REGISTRATION FORM P
Page 11 and 12: HWSETA SUPPLIER REGISTRATION FORM P

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