tailieunhanh - SERVICE PROVIDER DATABASE REGISTRATION FORM 2012/2013

The database we are releasing today is an updated version of the one we used for the original report. It has been a work-in-progress, and we have further refined it as we have obtained additional details. In particular, we uncovered new information for many of the 919 cases, including details about initial announcement dates and the reasons for the restatements. We performed analyses with the new information and determined that the new data resulted in only minor changes to the effects and trends we had initially reported. . | DATABASE REGISTRATION NO SERVICE PROVIDER DATABASE REGISTRATION FORM 2012 2013 LEPELLE-NKUMPI MUNICIPALITY MOTHO KE MOTHO KA BATHO LEPELLE-NKUMPI MUNICIPALITY SERVICE PROVIDER DATABASE REGISTRATION FORM This form must be duly completed preferably with a black pen signed as requested and placed together with supporting documentation in an envelope clearly marked Database of Prospective Service Providers on the outside and forwarded to the Manager Supply Chain Management Unit P Bag x 7 Lebowakgomo 0747 or forward to Supply Chain Management Unit Office Bid Administration Section - Zozo Office adjacent to Security at main entrance of Civic Centre Lebowakgomo PLEASE NOTE 1. Registration on the service provider database does not entitle the supplier to any business opportunities offered by the Lepelle-Nkumpi Municipality nor will it place any obligation of the Municipality whatsoever. 2. Arrangements may be made for officials of Lepelle-Nkumpi Municipality to inspect your premises in order to assess your competency before your company is accepted. 3. All service provider information will be treated strictly confidential. 4. It should be noted that should any information provided be found to be incorrect Lepelle-Nkumpi Municipality reserves the right to exclude the service provider from the database at any time prior to or after acceptance of the database registration form. 5. Kindly familiarize yourself with the Supply Chain Management processes FOR OFFICIAL USE DATE RECEIVED DATE CAPTURED FOR OFFICIAL USE Continue 2 No DOCUMENTS CHECKLIST Yes No N A 1 Company Registration Certified Copies 2 Proof of Ownership 3 Latest Rates and Taxes Statement Municipal account 4 Proof of Banking Cancelled cheque or a confirmation letter from the bank 5 Original Valid Tax Clearance Certificate 6 Proof of Registration 7 VAT 103 Registration 8 Certificate 9 Workman s Compensation 10 Proof of registration to a Professional Body Regulating your Industry 11 Affidavit Confirming

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