Any queries regarding bid procedures and technical information may be directed to: Name: Ms Dineo Dhlongolo Tel.: 012 301 5616 Fax: 012 325 1677 e-Mail dineo@agriseta.co.za All respondents must furnish the following particulars and include it in their submission (Failure to do so may result in your bid being disqualified) Name of respondent: Entity name VAT registration number Tax Clearance Certificate submitted YES / NO Company registration number Income tax reference number Company PAYE number Company UIF number Skills Development Levy registration number Postal address: Street address: Telephone number: Code Number Cellular number: e-Mail address: In case of a consortium/joint venture, full details on consortium/joint venture members: VAT registration Tax Clearance Entity name number Certificate submitted YES / NO VAT registration Tax Clearance Entity name number Certificate submitted YES / NO VAT registration Tax Clearance Entity name number Certificate submitted YES / NO Name of contracting entity in case of a consortium/joint venture Entity name: Postal address: Street address:
Any queries regarding bid procedures and technical information may be directed to: Name: Ms Dineo Dhlongolo Tel.: 012 301 5616 Fax: 012 325 1677 e-Mail dineo@agriseta.co.za All respondents must furnish the following particulars and include it in their submission (Failure to do so may result in your bid being disqualified) Name of respondent: Entity name VAT registration number Tax Clearance Certificate submitted YES / NO Company registration number Income tax reference number Company PAYE number Company UIF number Skills Development Levy registration number Postal address: Street address: Telephone number: Code Number Cellular number: e-Mail address: In case of a consortium/joint venture, full details on consortium/joint venture members: Entity name VAT registration number Tax Clearance Certificate submitted YES / NO Entity name VAT registration number Tax Clearance Certificate submitted YES / NO Entity name VAT registration number Tax Clearance Certificate submitted YES / NO Name of contracting entity in case of a consortium/joint venture Entity name: Postal address: Street address:
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