If not, indicate the expiry date of the B-BBEE status D D M M Y Y level verification certificate that was previously submitted to NHLS. I certify that the information furnished on this form is true and correct. I further accept that, in addition to cancellation of a contract, action may be taken against me should this declaration prove to be false. _________________________________________ Name of bidder (duly authorised) _________________________________________ Signature of bidder ________________________________________ Date _________________________________________ Capacity under which this RFQ is signed Contents
D D M M Y Y If not, indicate the expiry date of the B-BBEE status level verification certificate that was previously submitted to NHLS. I certify that the information furnished on this form is true and correct. I further accept that, in addition to cancellation of a contract, action may be taken against me should this declaration prove to be false. _________________________________________ Name of bidder (duly authorised) _________________________________________ Signature of bidder ________________________________________ Date _________________________________________ Capacity under which this RFQ is signed Contents
RFQ_1407820_17_18.docx