THE FOLLOWING PARTICULARS MUST BE FURNISHED (FAILURE TO DO SO MAY RESULT IN YOUR BID BEING DISQUALIFIED) NAME OF BIDDER POSTAL ADDRESS PHYSICAL ADDRESS TELEPHONE NUMBER CODE NUMBER ____________________________________________ CELL PHONE NUMBER CODE NUMBER ____________________________________________ FACSIMILE NUMBER CODE NUMBER ____________________________________________ E-MAIL ADDRESS VAT REGISTRATION NUMBER _________________________________________________________________ HAS AN ORIGINAL AND VALID TAX CLEARANCE CERTIFICATE BEEN SUBMITTED? (SBD 2) YES or NO HAS A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE BEEN SUBMITTED? (SBD 6.1) YES or NO IF YES, WHO WAS THE CERTIFICATE ISSUED BY AN ACCOUNTING OFFICER AS CONTEMPLATED IN THE CLOSE CORPORATION ACT (CCA) A VERIFICATION AGENCY ACCREDITED BY THE SOUTH AFRICAN ACCREDITATION SYSTEM (SANAS); OR A REGISTERED AUDITOR [TICK APPLICABLE BOX] (A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE MUST BE SUBMITTED IN ORDER TO QUALIFY FOR PREFERENCE POINTS FOR B-BBEE) ARE YOU THE ACCREDITED REPRESENTATIVE IN SOUTH AFRICA FOR THE GOODS/SERVICES/WORKS YES or NO OFFERED? [IF YES ENCLOSE PROOF] SIGNATURE OF BIDDER NAME OF PERSON SIGNING ON BEHALF OF BIDDER DATE CAPACITY UNDER WHICH THIS BID IS SIGNED __________________________________________________________
THE FOLLOWING PARTICULARS MUST BE FURNISHED (FAILURE TO DO SO MAY RESULT IN YOUR BID BEING DISQUALIFIED) NAME OF BIDDER POSTAL ADDRESS PHYSICAL ADDRESS TELEPHONE NUMBER CODE NUMBER ____________________________________________ CELL PHONE NUMBER CODE NUMBER ____________________________________________ FACSIMILE NUMBER CODE NUMBER ____________________________________________ E-MAIL ADDRESS VAT REGISTRATION NUMBER _________________________________________________________________ HAS AN ORIGINAL AND VALID TAX CLEARANCE CERTIFICATE BEEN SUBMITTED? (SBD 2) YES or NO HAS A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE BEEN SUBMITTED? (SBD 6.1) YES or NO IF YES, WHO WAS THE CERTIFICATE ISSUED BY AN ACCOUNTING OFFICER AS CONTEMPLATED IN THE CLOSE CORPORATION ACT (CCA) A VERIFICATION AGENCY ACCREDITED BY THE SOUTH AFRICAN ACCREDITATION SYSTEM (SANAS); OR A REGISTERED AUDITOR [TICK APPLICABLE BOX] (A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE MUST BE SUBMITTED IN ORDER TO QUALIFY FOR PREFERENCE POINTS FOR B-BBEE) ARE YOU THE ACCREDITED REPRESENTATIVE IN SOUTH AFRICA FOR THE GOODS/SERVICES/WORKS OFFERED? YES or NO [IF YES ENCLOSE PROOF] SIGNATURE OF BIDDER NAME OF PERSON SIGNING ON BEHALF OF BIDDER DATE CAPACITY UNDER WHICH THIS BID IS SIGNED __________________________________________________________
Final%20NSTP%20Learner%20Supplemetary%20Bid%20Invitation%20Jan%202013.docx