receives the delivery are captured on the Acceptance: Delivery Note: 4.1.1 Full name, printed; 4.1.2 Positive identification of the member in the ________________________________ form of an official Life Healthcare personnel Registered Company Name number; 4.1.3 Full signature; and an 4.1.4 Life Healthcare Hospital or Department Stamp. _________________________________ 4.2 The Vendor must submit copies of Delivery Registration number Notes with all invoices. _________________________________ 5 Loss or damage 5.1 Until the Life Healthcare formally accepts receipt Name (duly authorised) of any Goods purchased, (either signs a Delivery Note or Acceptance Certificate), the Vendor will _________________________________ be solely liable for any loss or damage that may occur. Signature 5.2 Acceptance should be interpreted as delivered equipment installed and performing to specification. To be completed by the Procurement Officer Heat Reference Number: _________________________ Is the vendor a Group Procurement or Pharmaceutical vendor? Please circle the relevant answer. Group Procurement Pharmaceutical procurement Is the new vendor a member of an existing partnership? Please circle the relevant answer. YES NO If Yes, provide the partnership reference ___________________________________ List the facilities to which the vendor code should be extended to. Please tick the relevant box. National (all hospitals and facilities) National (all hospital facilities) National (only Life Esidimeni facilities) National (only Occupational Healthcare facilities)
receives the delivery are captured on the Delivery Note: 4.1.1 Full name, printed; 4.1.2 Positive identification of the member in the form of an official Life Healthcare personnel number; 4.1.3 Full signature; and an 4.1.4 Life Healthcare Hospital or Department Stamp. 4.2 The Vendor must submit copies of Delivery Notes with all invoices. 5 Loss or damage 5.1 Until the Life Healthcare formally accepts receipt of any Goods purchased, (either signs a Delivery Note or Acceptance Certificate), the Vendor will be solely liable for any loss or damage that may occur. 5.2 Acceptance should be interpreted as delivered equipment installed and performing to specification. Acceptance: ________________________________ Registered Company Name _________________________________ Registration number _________________________________ Name (duly authorised) _________________________________ Signature To be completed by the Procurement Officer Heat Reference Number: _________________________ Is the vendor a Group Procurement or Pharmaceutical vendor? Please circle the relevant answer. Group Procurement Pharmaceutical procurement Is the new vendor a member of an existing partnership? Please circle the relevant answer. YES NO If Yes, provide the partnership reference ___________________________________ List the facilities to which the vendor code should be extended to. Please tick the relevant box. National (all hospitals and facilities) National (all hospital facilities) National (only Life Esidimeni facilities) National (only Occupational Healthcare facilities)