VAT REGISTRATION NUMBER TCS PIN: OR CSD No: B-BBEE STATUS LEVEL Yes B-BBEE STATUS Yes VERIFICATION CERTIFICATE LEVEL SWORN [TICK APPLICABLE BOX] No AFFIDAVIT No IF YES, WHO WAS THE CERTIFICATE ISSUED BY? AN ACCOUNTING OFFICER AS CONTEMPLATED IN THE AN ACCOUNTING OFFICER AS CORPORATION ACT (CCA) CONTEMPLATED IN THE A VERIFICATION AGENCY ACCREDITED BY THE SOUTH CORPORATION ACT (CCA) AND AFRICAN ACCREDITATION SYSTEM (SANAS) NAME THE APPLICABLE IN THE A REGISTERED AUDITOR TICK BOX NAME: [A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE/SWORN AFFIDAVIT(FOR EMEs & QSEs) MUST BE SUBMITTED IN ORDER TO QUALIFY FOR PREFERENCE POINTS FOR B-BBEE] ARE YOU A FOREIGN BASED SUPPLIER FOR ARE YOU THE ACCREDITED Yes No THE GOODS Yes No REPRESENTATIVE IN SOUTH /SERVICES [IF YES ANSWER PART AFRICA FOR THE GOODS /WORKS /SERVICES /WORKS OFFERED? [IF YES ENCLOSE PROOF] OFFERED? B:3 BELOW ] SIGNATURE OF BIDDER DATE ……………………………… CAPACITY UNDER WHICH THIS BID IS SIGNED (Attach proof of authority to sign this bid; e.g. resolution of directors, etc.) TOTAL NUMBER OF ITEMS TOTAL BID PRICE OFFERED (ALL INCLUSIVE) BIDDING PROCEDURE ENQUIRIES MAY BE DIRECTED TECHNICAL INFORMATION MAY BE TO: DIRECTED TO: DEPARTMENT/ PUBLIC ENTITY CONTACT PERSON CONTACT PERSON TELEPHONE NUMBER TELEPHONE NUMBER FACSIMILE NUMBER FACSIMILE NUMBER E-MAIL ADDRESS E-MAIL ADDRESS PART B TERMS AND CONDITIONS FOR BIDDING BID SUBMISSION:
VAT REGISTRATION NUMBER TCS PIN: OR CSD No: B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE [TICK APPLICABLE BOX] Yes No B-BBEE STATUS LEVEL SWORN AFFIDAVIT Yes No IF YES, WHO WAS THE CERTIFICATE ISSUED BY? AN ACCOUNTING OFFICER AS CONTEMPLATED IN THE CORPORATION ACT (CCA) AND NAME THE APPLICABLE IN THE TICK BOX AN ACCOUNTING OFFICER AS CONTEMPLATED IN THE CORPORATION ACT (CCA) A VERIFICATION AGENCY ACCREDITED BY THE SOUTH AFRICAN ACCREDITATION SYSTEM (SANAS) A REGISTERED AUDITOR NAME: [A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE/SWORN AFFIDAVIT(FOR EMEs & QSEs) 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 No [IF YES ENCLOSE PROOF] ARE YOU A FOREIGN BASED SUPPLIER FOR THE GOODS /SERVICES /WORKS OFFERED? Yes No [IF YES ANSWER PART B:3 BELOW ] SIGNATURE OF BIDDER ……………………………… DATE CAPACITY UNDER WHICH THIS BID IS SIGNED (Attach proof of authority to sign this bid; e.g. resolution of directors, etc.) TOTAL NUMBER OF ITEMS OFFERED TOTAL BID PRICE (ALL INCLUSIVE) BIDDING PROCEDURE ENQUIRIES MAY BE DIRECTED TO: TECHNICAL INFORMATION MAY BE DIRECTED TO: DEPARTMENT/ PUBLIC ENTITY CONTACT PERSON CONTACT PERSON TELEPHONE NUMBER TELEPHONE NUMBER FACSIMILE NUMBER FACSIMILE NUMBER E-MAIL ADDRESS E-MAIL ADDRESS PART B TERMS AND CONDITIONS FOR BIDDING BID SUBMISSION:
RFP-Strategic_Investment_Advisory_Services_bid_GEPF_01_2018_2.docx