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

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5. SHARE HOLDERS<br />

FULL<br />

NAME<br />

ID<br />

NUMBER<br />

SA<br />

CITIZEN<br />

YES/NO<br />

SA<br />

CITIZEN<br />

BEFORE<br />

APRIL<br />

1994<br />

CAPACITY<br />

MEMBER,<br />

PARTNER<br />

ETC<br />

%<br />

OWNERSHIP<br />

PARTNERS<br />

TRUST<br />

FEMALE<br />

/MALE<br />

PEOPLE<br />

WITH<br />

DISABILITY<br />

HDI<br />

RACE<br />

.<br />

6. HDI OWNERSHIP<br />

NO FRANCHISE PRIOR TO ELECTIONS.........................% (% of black persons in ownership)<br />

WOMAN EQUITY.................................................................% (% of women in ownership)<br />

DISABILITY ..........................................................................% (% of PWD in ownership)<br />

SMME ...............<br />

SMALL MEDIUM LARGE<br />

HWSETA SUPPLIER<br />

REGISTRATION FORM<br />

Page 6

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