SUPPLIER DATABASE FOR TSHWANE RAPID TRANSIT (PTY) LTD

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1 SUPPLIER DATABASE FOR TSHWANE RAPID TRANSIT (PTY) LTD Tshwane Rapid Transit (Pty) Ltd invites companies to register on our supplier database for provision of specified goods and services. The supplier database is effective from 01 July 2013 until end June 2014, and is therefore valid for a period of one financial year, to be renewed annually. Suppliers will be appointed on a rotational basis, subject to fulfilment of all requirements as contained in the SDF01, to afford every registered company an opportunity to participate in our procurement process. TRT reserves the right at its own discretion to limit the number of suppliers in each category on its database and those selected will be notified accordingly. Suppliers who wish to be registered on the Tshwane Rapid Transit (Pty) Ltd (TRT) database are invited to submit all the necessary information as required in the attached SDF01. Completion of all fields on the SDF01 is compulsory. By completing this form it does not make an entity a preferred or a contracted supplier. Registration on the supplier database makes an entity eligible to receive notifications of quotation requests. The registration of an entity on TRT suppliers database will enable an entity so registered to be notified of business opportunity that is relevant to the supplier s area of expertise. TRT reserves the right not to notify any supplier registered on its database of all business opportunities that may be available at any time.

2 FORM SDF01 COMPANY INFORMATION Company Name: Registration No 3 : VAT Number: Phone: Postal address: Type of company: Tick ( ) Close Corporation Private Company Public company Partnership Close Corporation Tax Clearance Certificate: 1 Yes / No City: Province: Postal Code: Years in Business: Number of Employees: BBBEE Level: 2 (Name by which business is conducted) Website URL 1 Valid Tax clearance certificate is required as support documentation 2 Valid BBBEE Level Certificate is required as support documentation 3 Valid Company Registration Certificate is required as support documentation

3 Corporate Headquarters: Address 1 City Code Province Phone # Fax # Company description (attach company profile as additional information) MAIN CONTACT PERSON Contact Name: Position in the company: Telephone Number: Mobile Number : Fax Number: Email Address:

4 MAIN CONTACT PERSON (SALES) Contact Name: Position in the company: Telephone Number: Mobile Number: Fax Number: Email Address: PREVIOUS EXPERIENCE: CLIENT NAME WORK PERFORMED REFERENCE FROM CLIENT

5 LIST OF ALL PARTNERS, DIRECTORS, PROPRIETORS AND SHAREHOLDERS (COMPULSORY): NAME POSITION CITIZENSHIP ID NUMBER Note: Where the owners are themselves a company or partnership, owners of the holding company must be identified GOODS AND SERVICES TO BE REGISTERED BY SUPPLIER: (TICK THE MOST RELEVANT) NO SUPPLIER GOODS AND SERVICES TICK ( ) 1. Bus Driver Trainers 2. Car Hire 3. Cleaning Services 4. Courier Services 5. Corporate Communications 6. Medical Practitioners / Pharmaceuticals : 6.1 Medical Health checks

6 NO SUPPLIER GOODS AND SERVICES TICK ( ) 6.2 Optical 6.3 First Aid Supplies 7. IT Hardware Supply 8. IT maintenance 9. IT Software Supply 10. IT Support 11. Legal Services 12. Management Consulting registered with relevant professional body 13. Marketing & Branding 14. Printing 15. Property Agent registered with Estate Agents Affairs Board 16. Public Relations & media 17. Recruitment and Placement Agency 18. Security PSIRA accreditation 19. Stationery 21. Tax Services 22. Training specialist 22.1 Driving skills 22.2 Communication Skills 22.3 Presentation Skills

7 NO SUPPLIER GOODS AND SERVICES TICK ( ) 24. Travel Agency 25. Office Furniture 26. Other (Specify) SUPPLIER BANK ACCOUNT DETAILS (Account must be in the name of the supplier) Account Name: Account Number Branch Name: Branch Number: Account Type specify: Email Address: ID Number: Passport Number: Practice Number: Bank Stamp: Banking details are hereby certified true and correct. Signed: Date:

8 DECLARATION I, the undersigned (Name and designation) On behalf of company... Certify that I am authorised to sign this declaration on behalf of the company, and that the information furnished herein is true and complete. SIGNED: DATE:. Witness (Name and designation): DATE: