9 Declaration with regard to company/firm 9.1 Name of company/firm ____________________________________________________ 9.2 VAT registration number ____________________________________________________ 9.3 Company registration number ___________________________________________________ 9.4 Type of company/ firm Partnership/Joint Venture / Consortium One-person business/sole propriety Close corporation Company (Pty) Limited [Tick applicable box] 9.5 Describe principal business activities 9.6 Company classification Manufacturer Supplier Professional service provider Other service providers, e.g. transporter. [Tick applicable box] 9.7 Total number of years the company/firm has been in business? …………………………………… 9.8 I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm, certify that the points claimed, based on the B-BBE status level of contribution indicated in paragraph 7 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that: 9.8.1 The information furnished is true and correct; 9.8.2 The preference points claimed are in accordance with the General Conditions as indicated in paragraph 1 of this form.
9 Declaration with regard to company/firm 9.1 Name of company/firm ____________________________________________________ 9.2 VAT registration number ____________________________________________________ 9.3 Company registration number ___________________________________________________ 9.4 Type of company/ firm Partnership/Joint Venture / Consortium One-person business/sole propriety Close corporation Company (Pty) Limited [Tick applicable box] 9.5 Describe principal business activities 9.6 Company classification Manufacturer Supplier Professional service provider Other service providers, e.g. transporter. [Tick applicable box] 9.7 Total number of years the company/firm has been in business? …………………………………… 9.8 I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm, certify that the points claimed, based on the B-BBE status level of contribution indicated in paragraph 7 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that: 9.8.1 The information furnished is true and correct; 9.8.2 The preference points claimed are in accordance with the General Conditions as indicated in paragraph 1 of this form.
RFQ_0696671-18-19.docx