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discovery metals group of companies supplier application form ...

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SUPPLIER APPLICATION FORM – PROVISION OF CONSULTANCY SERVICES<br />

13. Declaration<br />

I solemnly declare that the in<strong>form</strong>ation given in the <strong>application</strong> is correct to the best <strong>of</strong> my knowledge and belief.<br />

Name <strong>of</strong> Representative<br />

Position<br />

Signature<br />

Date<br />

Company stamp / seal<br />

Submit the completed <strong>application</strong> <strong>form</strong> in a sealed envelope marked and addressed to:<br />

SUPPLIER APPLICATION FORM<br />

Procurement Superintendent<br />

Discovery Metals Botswana<br />

Postnet<br />

P.O. Box AB56 ABC<br />

Gaborone Botswana<br />

Or deliver to:<br />

Discovery Metals Botswana<br />

Plot 21314, Sebele Road, Phakalane<br />

Gaborone Botswana<br />

Or email to: info@<strong>discovery</strong><strong>metals</strong>.com<br />

20120910-PFbc-Supplier Application Form - Provision <strong>of</strong> Consultancy Services 18 <strong>of</strong> 19

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