TO ALL SUPPLIERS SEEKING REGISTRATION AS AN APPROVED SUPPLIER ON THE DATABASE OF THE DEPARTMENT

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1 DEPARTMENT OF ARTS AND CULTURE REPUBLIC OF SOUTH AFRICA Private Bag X 897, PRETORIA, 0001 Tel: (012) Fax: TO ALL SUPPLIERS SEEKING REGISTRATION AS AN APPROVED SUPPLIER ON THE DATABASE OF THE DEPARTMENT All suppliers are herewith invited to register as an approved supplier on the database of the Department. In order to comply with the procedures set out in the Accounting Officers Procurement Procedures (AOPP), as referred to in the Public Finance Management Act, 1999 (Act 1 of 1999)(PFMA), the Department developed a supplier database to be used by the procurement office. The purpose of this database is to give all prospective suppliers an equal opportunity to submit quotations to the Department. Preference will be given to registered suppliers but it does not necessarily follow that suppliers who are not yet registered will be totally exempted from quoting for the supplying of goods or services to the Department. It is envisaged however, that this database will contribute to efficient administration and compliance with the PFMA. Attached please find an official registration form to assist us in creating and updating our database according to legislation. The following important notes should be read carefully before the completion of this form 1. Registration form to be completed by all businesses seeking to conduct business with the Department. A company profile / B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE must be submitted. 2. This form must be completed in full and signed by the owner(s) or manager or administration head. 3. Full signature is required when alterations are made in this document. 4. If the information required is not applicable to your business, clearly insert N/A in the appropriate space. 5. Mark the appropriate square with an 'X' where it is applicable to you. 6. All fields on application form MUST be completed by applicant; If the space provided is left blank, it will be regarded as information that is still outstanding and you will not be registered. 7. The front page of the form must be clearly marked "DATABASE" and be posted to the above postal address or hand delivered to the Department. 8. Please note that no unsigned faxed or ed forms will be accepted. 9. A business registered on the database must notify the Department within 14 (Fourteen) days of any changes to information provided in the application form. Failure to comply may result in such a business being removed and/or blacklisted from the database. 10. Businesses providing information intentionally incorrectly or fraudulently will be disqualified. 11. Applicants who have been declared insolvent and wish to do business with the Department must have been rehabilitated and provide the necessary proof thereof, 1

2 12. Businesses blacklisted by any organs of state* must first be removed or cleared from blacklist before registration. 13. Certified copies of the following documents must be attached to application form: a) A concise company profile (max 2 pages); b) Company Certificate or Shareholder(s) register; c) Tax Clearance Certificate: d) Income Tax Certificate, e) VAT registration certificate (for VAT vendors only); f) ID for all members / partners / directors. g) B-BBEE Status Level Verification Certificate Failure to submit all the above documents will result in non-registration. 14. Fronting* will result in a business being blacklisted. 15. The Department has the right to visit the business premises to verify the information provided in this form. 16. Members / directors / partners / owners in service with any organ of state* management; must declare any conflict of interest. Failure to do so may lead to disqualification or deregistration. 17. This is only a registration form for database and does not guarantee any award of bid / contract. 18. Preference will be given to registered suppliers but it does not necessarily follow that suppliers who are not yet registered will be totally excluded from quoting for the supply of goods or services to the municipality. 19. The database will be updated on quarterly basis. A summary of the supplier s info on the database will be posted for verifying. Changes can be made on the summary and faxed back to the Department. Only on receipt of a signed changed summary, updates will be added to the database. 20. The Department reserves the right to reject any application, which in its opinion failed to comply with the registration requirements or criteria. 21. Unsuccessful applicants will be notified as such. On receipt of any outstanding documents / information, the declined supplier may be re-evaluated for registration. 22. Applicants will be contacted via fax and must therefore submit an operating fax number; failure to comply will result in excluding the supplier from the data base; Supplier must comply with all the registration-criteria for registration to be finalised - failure to do so may result in the application being declined. Completed database forms can be hand delivered at: Department of Arts & Culture Supply Chain Management Kingsley Centre 481 Stanza Bopape Street Arcadia Pretoria Or post it to: Department of Arts and Culture Private Bag X 897 PRETORIA

3 SERVICE PROVICER/SUPPLIER DATABASE REGISTRATION FORM Supplier detail: Company/Supplier Registered Name: Trading Name if different from the above: Company / Close Corporation Registration Number # VAT registration number (if applicable): Income tax reference number ## Web Address: Address: Telephone Number: Fax Number: (compulsory) Toll Free Number: Number of full time employees: # For Companies and Close Corporations, as with the Registrar of Companies / CC ## Insert Personal Income Tax Number for sole proprietor of Personal Income Tax numbers for all parties in terms of partnerships Postal Address: (compulsory) Physical Address: Postal Code: Company/Supplier Classification: (Please the relevant box or boxes) ISO Listed Importer Services Manufacturer Repairer Black Owned Distributor Exporter Sales (Please the relevant box) Tax Clearance Certificate Attached yes no Expiry date: 3

4 Supplier Grouping Detail: Type of Firm: (Please the relevant box) 1 Public Company (Ltd) 2 Private company (Pty) Ltd 3 Closed Corporation (cc) 4 Other (specify) 5 Joint Venture (see terminology page 7) 6 Consortium (see terminology page 7) 7 Sole Proprietor 8 Foreign Company 9 Partnership 10 Trust 11 Section 21 Company 12 Government / Organ of state / Parastatels (see terminology page 7) AREA OF OPERATION: Municipal Area Provincial National Locality Rural Area: Local Municipality Main contact person in your company: Name & Surname ID Number Company Position: Cell phone Number: Fax Number: address: Contact person (sales) in your company: Name & Surname ID Number Position in company: Cell Phone Number: Fax Number: address: Preferred method of correspondence Fax Telephone. BLACKLISTED Reason: Expiry Date: 4

5 DEPARTMENT OF ARTS AND CULTURE SUPPLIER MAINTENANCE: Head Office Only Captured By: Date Captured: Authorised By: Date Authorised: Supplier code: Enquiries: Tel. No.: BAS PMIS LOGIS WCS CONTRACTOR CONSULTANT The Director General : OFFICE:... DEPARTMENT OF ARTS AND CULTURE I/We hereby request and authorise you to pay any amounts, which may accrue to me/us to the credit of my/our account with the mentioned bank. I/we understand that the credit transfers hereby authorised will be processed by computer through a system known as "ACB - Electronic Fund Transfer Service", and I/we understand that no additional advice of payment will be provided by my/our bank, but that the details of each be printed on my/our bank statement or any accompanying voucher. (This does not apply where it is not customary for banks to furnish bank statements). I/we understand that the Department will supply a payment advice in the normal way, and that it will indicate the date on which the funds will be made available on my/our account. This authority may be cancelled by me/us by giving thirty days notice by prepaid registered post. Please ensure information is validated as per required. I/We understand that bank details provided should be exactly as per the records held by the bank. I/We understand that the Department will not assume responsibility for any delayed payments, as a result of incorrect information supplied. Company / Personal Details Registered Name Trading Name Tax Number VAT Number Title: Initials: First Name: Surname: Address Detail Payment Address (Compulsory if Supplier) Postal Code New Detail New Supplier information Update Supplier information Supplier Type: Individual Department Partnership Company CC Trust Other (Specify) Department Number 5

6 Supplier Account Details (Please note that this account MUST be in the name of the supplier. No 3rd party payments allowed). Account Name Account Number Branch Name Branch Number Account Type Cheque Account Savings Account Transmission Account Bond Account Other (Please Specify) ID Number Passport Number Company Registration Number / / *CC Registration *Please include CC/CK where applicable Practice Number Bank stamp Business Home Fax Cell Address Contact Person: Area Code Area Code Area Code Cell Code Contact Details Telephone Number Telephone Number Cell Number Supplier Signature Regional Office Sender PLEASE RETURN TO THE RELEVANT REGIONAL OFFICE THAT SUPPLIED THE FORM OR THE FOLLOWING ADDRESS: Print Name Print Name Rank / / / / Date (dd/mm/yyyy) Date (dd/mm/yyyy) NB: All relevant fields must be completed 6

7 7

8 SMME status of your enterprise: Please use this table to determine the SMME Status of your enterprise Please the relevant box in each column A. Sector B. Full time paid employees C. Annual Turnover (millions) D. Total Gross asset value (property excluded) (millions) Medium Small Very Small Micro Medium Small Very Small Micro Medium Small Very Small Micro Agriculture Mining and Quarrying Manufacturing Construction Retail and Motor trade Wholesale Trade Catering, Accommodation Transport, Storage Finance & Business Services Repair/Allied Services Communications Other Trade Commercial Agents Community& Social Services Personal Services SMME status of your enterprise: (Please the relevant box) (According to SMME table) (compulsory) Micro Very Small Small Medium Large 8

9 SBD Goals Information: Skills Empowerment Human Resources Upliftment of Communities % of turnover % of turnover % of turnover Locality Province No Yes If "Yes" please define: Locality Region No Yes If "Yes" please define: Locality Municipal Area No Yes If "Yes" please define: Locality Rural Area No Yes If "Yes" please define: List all partners, proprietors and shareholders (compulsory) SEE NEXT PAGE Where owner are themselves a company or partnership, owners of the holding firm must be identified Population Group * Asian = A Black = B Coloured = C White = W Proof of Disability must be attached ** If not SA Citizen, state country of origin - if not SA citizen from birth, please indicate date when SA citizenship was acquired *** 9

10 Name Position Occupied In the enterprise Date RSA Citizenship Obtained *** ID Number % Owned by HDI % Owned by Women % Owned by Disabled Individuals ** Gender F/M Population Group * Physical address 10

11 HDI Ownership Status: Please read notes below very carefully Instructions and Definitions: (please read carefully before completing HDI Ownership Status) Legislation: Procedures are set out in the Accounting Officers Procurement Procedures (AOPP), as referred to in the Public Finance Management Act, 1999 (Act 1 of 1999)(PFMA), to give all prospective suppliers an equal opportunity to submit quotations to a State Department. Terminology: Commodities: The commodities the company wishes to be registered for as a supplier. Please define your principal business to a maximum of 10 commodities. Trade Names: The trade names that the company own or distribute, which you wish to be registered for. Owned: Having all the customary elements of ownership, including the right of decision-making and sharing all the risks and profits commensurate with the degree of ownership interests as demonstrated by an examination rather than the form of ownership arrangements. Historically Disadvantaged Individuals (HDI): Where individuals are not actively involved in the management and daily business operations and do not exercise control over the enterprise commensurate with their degree of ownership, equity ownership may not be claimed. HDI Ownership Status: (failure to complete this section will result in the application being declined) Historically Disadvantaged Individuals (HDI) % Women Equity (WE) % Disabled Individuals (DA) % BB-BEE Certificate: Contribution Level Expiry date Position Number of Africans Number of Coloureds Number of Indians Total % of Africans % of Coloureds % of Indians % of Whites % of women % of disabled Managers Senior Staff Other Staff Total 11

12 DECLARATION OF ANY CONFLICT OF INTEREST: 1. Are you currently working as an employee in any organ of state, did you obtain the appropriate authority to undertake remunerative work outside employment in the public sector? Yes No 1.1 If Yes, attach a proof: (Note: Failure to submit proof of such authority, where applicable, may result in the disqualification of the registration) 1.2 If No, furnish reasons for non-submission of such proof: (Note: Failure to submit proof of such authority, where applicable, may result in the disqualification of the registration) 2. Did you or spouse, or any of the company s directors/trustees/ shareholders/members or their spouses conduct business with the state in the previous twelve months? Yes No 2.1 If Yes, give details: 3. Do you have any relative working for an organ of state? Yes 3.1 If Yes, give details: 4. Do you have any close relationship with any official working in our establishment (except of the above)? Yes No No 4.1 If Yes, give details: 12

13 5. Is there any other relevant information that you would like to disclose? Yes No 5.1 If Yes, give details: TERMINOLOGY: Organ of state: a) A national or provincial department as defined in the Public Finance Management Act No. 1 of 1999; b) A Municipality as contemplated in the Constitution; c) Parliament; d) A Provincial legislature; e) A constitutional institution listed in schedule 1 of the Public Finance Management Act. Joint Venture / Consortium: An association of persons for the purpose of combining their expertise, property, capital, efforts, skill and knowledge for execution of contract Relative in means of this document means: Your first degree relative, that is, wife, husband, son, daughter, father, mother, brother, sister. I/we the undersigned acknowledge(s) that: The information furnished is true and correct The Equity Ownership claimed is in accordance with the General Conditions Any conflict of interest will be declared in the comment space below SIGNATURE OF OWNER OR AUTHORISED REPRESENTATIVE DATE SIGNATURE OF OWNER OR AUTHORISED REPRESENTATIVE DATE SIGNATURE OF OWNER OR AUTHORISED REPRESENTATIVE DATE SIGNATURE OF OWNER OR AUTHORISED REPRESENTATIVE DATE 13

14 COMMODITY LIST Please indicate with: CONSTRUCTION AIR-CONDITIONING SYSTEMS ALARM/SECURITY/ACCESS CONTROL AUTO SPRINKLE FIRE PROTECTION SYSTEMS AUTOMATIC HANGER DOORS AUTOMATIC SLIDING DOORS BLASTING CONTRACTORS BOILERS BRICKWORK/MASONRY BUILDING CONTRACTORS BUILDING EQUIPMENT AND ACCESSORIES (CEMENT MIXERS, SCAFFOLDING, TROWELS ETC.) BUILDING MATERIALS (BRICKS, CEMENT, SAND, PAINTING ETC.) CARPETING/TILING/FLOOR COVERING CEILING CONTRACTORS CEILINGS, PARTITIONING AND SHOP FITTING - MATERIALS CLADDING CONTRACTS COMPRESSED AIR INSTALLATIONS CONCRETE WORKS CONSTRUCTION CONTRACTORS CONSTRUCTION MANAGEMENT CONTRACTORS COOKING & RELATED SYSTEMS EARTHMOVING CONTRACTORS ELECTRICAL APPLIANCES ELECTRICAL CONTRACTORS (ACCREDITED) EVACUATION SYSTEMS FENCING CONTRACTORS GENERAL BUILDING WORK GLAZING CONTRACTORS HARDWARE & BUILDING SUPPLIERS PROFESSIONAL SERVICES ACCOUNTANTS/FINANCIAL ADVISORY SERVICES ACCUMULATORS ACTS & LEGISLATION DOCUMENTS AGRICULTURAL SERVICES & EQUIPMENT AIRLINES Please note: only 5 commodities will be registered HAULING/HEAVY EQUIPMENT/TRANSPORT HOT WATER INSTALLATIONS HYDRAULICS INCINERATORS IRRIGATION CONTRACTORS LANDSCAPING/EARTHWORKS LIFT, ELEVATOR, ESCALATOR SERVICES LIGHTING CONTRACTORS LOADERS & LIFTS MECHANICAL CONTRACTS METALWORK/BURGLAR BARS PAINTING CONTRACTORS PARTITIONING CONTRACTORS PAVING CONTRACTORS PLASTERING CONTRACTORS PLUMBING CONTRACTORS (ACCREDITED) POWER TOOLS PUMPING INSTALLATIONS ROAD MARKING & SIGNAGE ROADWORKS/CONSTRUCTION/CLEANING ROOFING CONTRACTORS SEWERAGE INSTALLATIONS/RETICULATIONS STEAM INSTALLATIONS & ANCILLARY EQUIP STEEL CONTRACTORS STEEL FABRICATIONS & ERECTION STORM WATER DRAINING TILING CONTRACTORS WATER INSTALLATIONS/RETICULATIONS WELDING CONTRACTORS CONSULTING - ACOUSTIC SERVICES & MATERIALS CONSULTING - ACQUISITION MANAGEMENT CONSULTING - ACTUARIES & REMUNERATION SERVICES CONSULTING - ADMINISTRATION CONSULTING - ADMINISTRATION EMPLOYEES 14

15 ARCHITECTURAL SERVICE ARCHIVAL SERVICES CONSULTANTS ARCHIVING SERVICES & SYSTEMS ARTS & CULTURE AND RELATED SERVICES ASSESSMENT & MODERATOR ASSET MANAGEMENT SYSTEMS ASSOCIATIONS & FEDERATIONS ASSURANCE COMPANIES ATTORNEYS/LEGAL SERVICES AUCTIONEERING SERVICES AUCTIONEERS AUDITING SERVICES BANKS & FINANCIAL INSTITUTIONS BIOMETRICS SOLUTIONS BROADCASTING STATION (TV/RADIO) BROKERS - FINANCE BROKERS - LABOUR BUSINESS ADVISORY SERVICES (BAS) BUSINESS ANALYSIS AND DESIGN CATERING SERVICES CHAMBERS OF COMMERCE & INDUSTRY CHANGE MANAGEMENT CHARTER SERVICES - AIRCRAFT CHARTERED ACCOUNTANTS CHEMICAL TRANSPORT UNITS COLLEGES CONSULTING - DISTRIBUTION CONSULTING - DRAINAGE CONSULTING - E-BUSINESS STRATEGIES CONSULTING - ECONOMETRIC SURVEY CONSULTING - ECONOMIC STRATEGY CONSULTING - ECONOMIC TRADE CONSULTING - ECONOMICS CONSULTING - ECO-TOURISM CONSULTING - EDUCATION CONSULTING - ELECTRICAL ENGINEERS CONSULTING - ELECTRONIC CONSULTING - EMERGENCY & DISASTER MANAGEMENT CONSULTING - EMPLOYEE BENEFIT & EMPOWERMENT CONSULTING - EMPLOYEE DEVELOPMENT CONSULTING - EMPLOYMENT EQUITY CONSULTING - EMPOWERMENT MODELS CONSULTING - EMPOWERMENT WOMEN CONSULTING - ENERGY RESOURCES CONSULTING - ADVERTISING CONSULTING - AGRICULTURAL ENGINEERS CONSULTING - AIR POLLUTION ENGINEERS CONSULTING - ASSET MANAGEMENT CONSULTING - ASSET MANAGEMENT & BARCODING CONSULTING - ASSET SOFTWARE CONSULTING - BUSINESS MANAGEMENT CONSULTING - BUSINESS SKILLS CONSULTING - CATERING CONSULTING - CHEMICAL ENGINEERS CONSULTING - CIVIL ENGINEERS CONSULTING - COMMUNICATION CONSULTING - COMMUNICATION NETWORK CONSULTING - COMMUNICATION STRATEGIES & SYSTEMS CONSULTING - COMMUNITY BUILDING CONSULTING - COMMUNITY SERVICES CONSULTING - COMPUTER LITERACY CONSULTING - COMPUTER PROGRAMMING & SOFTWARE CONSULTING - COMPUTER SYSTEMS & SOLUTIONS CONSULTING - CONCEPTUAL CONSULTING - CONFERENCE & EVENTS CONSULTING - CONSTRUCTION ENGINEERS CONSULTING - CORPORATE ID CONSULTING - CUSTOMER INTERACTIONS CONSULTING - DATABASE CONSULTING - DESIGN SERVICES CONSULTING - PERSONNEL CONSULTING - POWER SUPPLY & SYSTEMS CONSULTING - PROJECT MANAGEMENT CONSULTING - PROPERTY DEVELOPMENT CONSULTING - PUBLIC RELATIONS & SERVICES CONSULTING - QUALITY CONTROL CONSULTING - RISK MANAGEMENT CONSULTING - ROAD ENGINEERS CONSULTING - SCIENTIFIC CONSULTING - SECRETARIAL CONSULTING - SKILLS ANALYSIS & DEVELOPMENT CONSULTING - STRATEGIES CONSULTING - TAXATION CONSULTING - TECHNICAL SKILLS CONSULTING - TECHNOLOGY CONSULTING - TELECOMMUNICATION CONSULTING - TENDER EVALUATIONS CONSULTING - VENTILATION ENGINEERS 15

16 CONSULTING - ENGINEERS CONSULTING - ENGINEERS HYDRAULIC CONSULTING - ENTREPRENEURIAL SKILLS CONSULTING - ENVIRONMENTAL CONSULTING - ERECTION ENGINEERS CONSULTING - EVALUATION ASSETS CONSULTING - EXHIBITIONS CONSULTING - EXPORT & IMPORT CONSULTING - FINANCIAL & SYSTEM INTEGRATION CONSULTING - FINANCIAL ADMINISTRATION CONSULTING - FINANCIAL PLANNING CONSULTING - FINANCIAL SYSTEMS CONSULTING - FLEET SERVICES MANAGEMENT CONSULTING - FORENSIC CONSULTING - FURNACES CONSULTING - GENDER EQUITY CONSULTING - GEOGRAPHICAL INFORMATION CONSULTING - GEOLOGICAL SERVICES CONSULTING - GEOPHYSICAL CONSULTING - GOVERNANCE CONSULTING - HEALTH CARE CONSULTING - HOUSING CONSULTING - HUMAN RESOURCES CONSULTING - INDUSTRIAL CONSULTING - INFORMATION MANAGEMENT CONSULTING - INFRASTRUCTURE CONSULTING - INSTITUTIONAL CONSULTING - INSURANCE CONSULTING - INTERIOR DECORATING CONSULTING - INTERNATIONAL TRADE CONSULTING - INTERNET CONSULTING - IT SERVICES & STRATEGIES CONSULTING - JOURNALISM CONSULTING - LABORATORY CONSULTING - LABOUR CONSULTING - LANDSCAPE SERVICES CONSULTING - LEGAL SERVICES CONSULTING - LOCAL GOVERNANCE CONSULTING - LOGISTICAL SERVICES CONSULTING - LOGISTICS SYSTEMS CONSULTING - WASTE CONSULTING - WATER PURIFICATION, SUPPLY & STORAGE CONSULTING - WORKPLACE SURVEYS & NEED ANALYSIS CONSULTING ENGINEERING - ELECTRICAL CONSULTING ENGINEERING - ENVIRONMENTAL RELATED SERVICES CONSULTING ENGINEERING - GEO-TECHNICAL CONSULTING ENGINEERING - MECHANICAL CONSULTING ENGINEERING - PROJECT MANAGEMENT CONSULTING ENGINEERING - ROADS & STORM WATER CONSULTING ENGINEERING - SOLID WASTE CONSULTING ENGINEERING - STRUCTURES, BUILDINGS, BRIDGES CONSULTING ENGINEERING - WATER & SANITATION CONSULTING ENGINEERS CONSULTING SERVICES COUNTRY CLUB & SPORT CENTRES COURIER AND MAILING SERVICES DEVELOPMENT - ASSET SOFTWARE DEVELOPMENT - BUSINESS MANAGEMENT DEVELOPMENT - BUSINESS SKILLS DEVELOPMENT - COMMUNICATION STRATEGIES & SYSTEMS DEVELOPMENT - COMMUNITY BUILDING DEVELOPMENT - COMMUNITY SERVICES DEVELOPMENT - CORPORATE ID DEVELOPMENT - DATABASE DEVELOPMENT - E-BUSINESS STRATEGIES DEVELOPMENT - ECONOMIC STRATEGY DEVELOPMENT - EMPLOYEE BENEFIT & EMPOWERMENT DEVELOPMENT - EMPLOYEE DEVELOPMENT DEVELOPMENT - EMPLOYMENT EQUITY DEVELOPMENT- EMPOWERMENT MODELS DEVELOPMENT - EMPOWERMENT WOMEN DEVELOPMENT - ENTREPRENEURIAL SKILLS DEVELOPMENT - FINANCIAL SYSTEMS DEVELOPMENT - HOUSING DEVELOPMENT - HUMAN RESOURCES DEVELOPMENT - INDUSTRIAL DEVELOPMENT - INFRASTRUCTURE DEVELOPMENT - IT SERVICES & STRATEGIES DEVELOPMENT - LOGISTICS SYSTEMS DEVELOPMENT - MANAGEMENT 16

17 CONSULTING - MANAGEMENT CONSULTING - MANAGEMENT TOOLS CONSULTING - MARKETING & ADVERTISING CONSULTING - MECHANICAL ICAL ENGINEERS CONSULTING - MEDIA RELATIONS CONSULTING - METALLURGICAL SERVICES CONSULTING - METAPHYSICAL & EMOTIONAL CONSULTING - MULTI MEDIA CONSULTING - OPERATION FIELDS CONSULTING - ORGANISATIONAL DYNAMICS CONSULTING - PERFORMANCE MANAGEMENT CONSULTING - PERSONAL DEVELOPMENT DEVELOPMENT - SPORT DEVELOPMENT - STRATEGIES DEVELOPMENT - STRESS MANAGEMENT DEVELOPMENT - TECHNOLOGY DEVELOPMENT - TOWNSHIP & RURAL PROJECTS DISCIPLINARY HEARINGS & INTERVIEWS DRAUGHTING SERVICES DRIVING INSTRUCTORS EAP CONSULTANTS EDITING SERVICES EDUCATION TRAINING & DEVELOPMENT PROGRAMMES EDUCATIONAL SERVICES ELECTRICAL CONTRACTORS EMPLOYEE ASSISTANCE CONSULTANTS EMPLOYEE HEALTH & WELLNESS PROGRAMS ESTATE AGENCIES & CONSULTANTS FACILITATOR FINANCIERS INDUSTRIAL FLEET MANAGEMENT FORENSIC AUDIT SERVICES FREIGHT SERVICES (SEA, AIR, LAND) GOVERNMENT SERVICES HEALTH CARE RELATED SERVICES HOSPITALS & CLINICS HOTELS HR CONSULTING IMPORT & EXPORT SERVICES INSTITUTES INTERNAL AUDIT INVESTIGATION SERVICES LABOUR RELATIONS LAND AND PROPERTY VALUERS DEVELOPMENT - MANAGEMENT TOOLS DEVELOPMENT - MULTIMEDIA DEVELOPMENT - ORGANISATIONAL DYNAMICS DEVELOPMENT - PERFORMANCE MANAGEMENT DEVELOPMENT - PERSONAL DEVELOPMENT DEVELOPMENT - PERSONNEL DEVELOPMENT - PROJECTS MANAGEMENT DEVELOPMENT - PROMOTIONS & ADVERTISING DEVELOPMENT - PUBLIC RELATIONS & SERVICES DEVELOPMENT - SKILLS DEVELOPMENT - SMALL BUSINESS (SMME) DEVELOPMENT - SOFTWARE BUSINESS RESTAURANTS RETAIL STORES SECURITY SOLUTIONS SPECIALISTS TEACHERS & EDUCATORS TECHNIKONS TRAINING - ASSET SOFTWARE TRAINING - BUSINESS MANAGEMENT TRAINING - BUSINESS SKILLS TRAINING - COMMUNICATION TRAINING - COMMUNICATION STRATEGIES & SYSTEMS TRAINING - COMMUNITY BUILDING TRAINING - COMMUNITY SERVICES TRAINING - COMPUTER LITERACY TRAINING - COMPUTER PROGRAMMING & SOFTWARE TRAINING - COMPUTER SYSTEM & SOLUTIONS TRAINING - CONFERENCE & EVENTS TRAINING - CUSTOMER INTERACTIONS TRAINING - E-BUSINESS STRATEGIES TRAINING - ECONOMIC STRATEGY TRAINING - EDUCATION TRAINING - EMPLOYEE DEVELOPMENT TRAINING - EMPOWERMENT MODELS TRAINING - ENTREPRENEURIAL SKILLS TRAINING - FINANCIAL PLANNING TRAINING - FINANCIAL SYSTEMS TRAINING - HEALTH CARE TRAINING - HUMAN RESOURCES TRAINING - INFORMATION MANAGEMENT TRAINING - INTERNATIONAL TRADE TRAINING - INTERNET TRAINING - IT SERVICES & STRATEGIES TRAINING - LABOUR 17

18 LAND AND QUANTITY SURVEYING LEGAL COMPLIANCE CONSULTANTS LEGAL SERVICES - CONTRACTS, CONVEYANCE, LITIGATION LEGAL TRAINING LIBRARY SERVICE CONSULTANTS MARKET RESEARCH MEDIA LIAISON/COMMUNICATION MEDIA MANAGEMENT MEDICAL PRACTITIONERS MEDICAL/AMBULANCE/HEALTHCARE MINERAL & MINING MINERALOGICAL SERVICES MINING & SUPPORT CONTRACTORS NATURE RESERVES OCCUPATIONAL HEALTH & SAFETY PERSONNEL SERVICES POWER STATION TECHNICAL SERVICES PRINTING/PHOTOGRAPHY/GRAPHIC DESIGN PROCUREMENT SERVICES PROJECT MANAGEMENT PROPERTY DEVELOPMENT MANAGEMENT PUBLICATIONS PUBLISHERS QUALITY CONTROL SERVICES QUANTITY SURVEYORS RADIO PUBLICITY/TV PUBLICITY REHABILITATION SERVICES (ALCOHOL & DRUG DEPEND) REMUNERATION RESEARCH & SURVEY SERVICES SERVICES ACCOMMODATION ADVERTISING & PRINTING ADVERTISING & PUBLIC RELATIONS AIR-CONDITIONING SYSTEMS AIRCRAFT HIRE, SERVING & REPAIRS ALARM AND TRACKING SYSTEMS ALARM SYSTEMS & EQUIPMENT BAKERIES BANQUETING EQUIPMENT BAR CODE & MAGNETIC CARDS BAR CODE SOFTWARE & PRINTERS BLINDS & AWNINGS BOOKKEEPERS TRAINING - LOGISTICS SYSTEMS TRAINING - MANAGEMENT TRAINING - MANAGEMENT TOOLS TRAINING - MULTIMEDIA TRAINING - PERFORMANCE MANAGEMENT TRAINING - PERSONAL DEVELOPMENT TRAINING - PERSONNEL TRAINING - PROJECT MANAGEMENT TRAINING - PUBLIC RELATIONS & SERVICES TRAINING - RISK MANAGEMENT TRAINING - SECRETARIAL TRAINING - SECURITY SYSTEMS TRAINING - SKILLS DEVELOPMENT TRAINING - SOFTWARE BUSINESS TRAINING - SPORT TRAINING - STRESS MANAGEMENT TRAINING - TECHNICAL SKILLS TRAINING - TOWNSHIP & RURAL PROJECTS TRAINING & DEVELOPMENT TRAINING AND DEVELOPMENT INSTITUTIONS TRAINING MATERIALS & SOFTWARE TRAINING MATERIALS & SOFTWARE TRANSPORT SERVICES - GOODS TRANSPORT SERVICES - PASSENGERS TRANSPORT SERVICES (MINI-BUSSES TO BUSSES) TRANSPORTATION SERVICES TRAVEL AGENCIES TRAVEL MANAGEMENT /AGENCIES WEATHER STATIONS ANTI-VIRUS SOFTWARE AUDIO SYSTEMS PROVISION, INSTALLATION AND MAINTENANCE AUDIO VISUAL AIDS & EQUIPMENT AUDIO VISUAL PRESENTATIONS/PRODUCTIONS AUTO ELECTRONICS AUTO FITMENT AUTOMATION & CONTROL SERVICES ENTERTAINMENT ENTERTAINMENT - PERFORMERS ENTERTAINMENT FACILITIES ENTERTAINMENT SERVICES (TOURISTS) ENTERTAINMENT VENUES & THEATRES EVENT & CONFERENCING MANAGEMENT 18

19 BREAKDOWN SERVICE ROAD BURGLAR PROOFING AND SYSTEMS BUSINESS CARDS BUSINESS CONSULTING BUSINESS INFORMATION MANAGEMENT BUSINESS MANAGEMENT BUSINESS PLANS BUSINESS SOLUTIONS BUSINESS STRATEGY DEVELOPMENT BUSINESS SYSTEMS SOFTWARE BUSINESS TRAINING & SILLS SERVICES CABINET/FURNITURE MAKING CABLING CONTRACTORS CABLING SYSTEMS & MANAGEMENT CABLING SYSTEMS TELEPHONE CALL CENTRES & CALL CENTRE SOLUTIONS CAR WASH AND VALET CARDS - IDENTIFICATION CARPENTERS & CARPENTRY CARPET CLEANING CATERING/VENDING/FOOD SUPPLY CERTIFICATION SERVICES CLEANING SERVICES CLOSED CIRCUIT TV CLOTHING MANUFACTURERS CLUTCH AND BRAKES SPECIALISTS COMMUNICATIONS STRATEGY COMPUTER CABLING SYSTEMS COMPUTER EQUIPMENT, NETWORKS AND SOFTWARE COMPUTER NETWORKING COMPUTER SOFTWARE COMPUTER SUPPLIES/SERVICES CONFERENCE CENTRES & FACILITIES CONFERENCING FACILITIES AND FACILITATION CONFERENCING SYSTEMS COPY EDITING COPYWRITING CORPORATE REPUTATIONS AND RISK MANAGEMENT CORROSION PROTECTION SERVICES CUPBOARDS BUILT IN DATA BACKUP SERVICES & SOFTWARE DATA CAPTURING & MANAGEMENT SERVICES DATA COLLECTION SYSTEMS DEBT COLLECTION EXHIBITION CENTRES FACILITATION GENERAL SERVICES FACILITATION SERVICES CONFERENCE FARMING PRODUCTS AND SERVICE FIRE EXTINGUISHERS / FIRE HYDRANTS & REFILLS FIRE HYDRANTS FIRE PROTECTION & DETECTION FIRE SAFETY & RELATED SERVICES (GOODS & SERVICES) FLOORING CONTRACTORS FLOORING MATERIALS FLORISTS FRAMING SERVICES FURNITURE REMOVAL AND STORAGE GALVANISING SERVICES GARDENING SERVICES GEARBOX SPECIALISTS GIS COMPUTER TECHNOLOGY GIS MAP PRODUCTION SOFTWARE GIS MODELLING & ANALYSIS GLASS TINTING GLAZING CONTRACTORS GLAZING CONTRACTORS GRAPHIC DESIGN SERVICES GUESTHOUSE, INNS & LODGES HOLIDAY RESORTS HORTICULTURAL SERVICES HOSPITALITY SERVICES CORPORATE ID CARD PERSONALISATION SYSTEMS ILLUSTRATION SERVICES IMAGING SERVICES IMPLEMENTATION AND PROJECT MANAGEMENT INDUSTRIAL EQUIPMENT & HIRE INFORMATION SERVICES INSPECTION SERVICES INSULATION SERVICES INTERCOMMUNICATION SYSTEMS INTERIM MANAGEMENT INTERIOR DECORATING, REFURBISHMENT AND EQUIPMENT INTERPRETATION SERVICES - MAGNETIC SURVEYS INTERPRETING SERVICES LANGUAGE INTRASTRUCTURAL AND GENERAL MAINTENANCE SERVICES IT HARDWARE & SOFTWARE IT MANAGEMENT IT NETWORKING 19

20 DIESEL INDUSTRY DISPLAY SERVICES DISTRIBUTION SERVICES DOCUMENT BINDING SERVICES DOCUMENT DUPLICATING SERVICES DRESSMAKING DRY CLEANING SERVICES ELECTRICAL EQUIPMENT REPAIRS ELECTRICAL INSTALLATION ELECTRONIC CONTRACTORS ELECTRONIC MARKETING ELEVATORS & CONVEYORS EMBOSSING SERVICES EMBROIDERY SERVICES (LOGO) ENCODING ENCRYPTION SOFTWARE & SYSTEMS ENGINE OVERHAULS ENGLISH & AFRIKAANS DOCUMENTS ENGRAVING SERVICES ENGRAVING SERVICES & EQUIPMENT MECHANICAL CONTRACTS MEDICAL EQUIPMENT MAINTENANCE & REPAIRS MULTI MEDIA SERVICES MUNICIPAL SERVICES NETWORK SOLUTIONS NETWORKING SOFTWARE OFFICE AUTOMATION EQUIPMENT REPAIRS OFFICE AUTOMATION HIRE OFFICE MAINTENANCE PAINTING CONTRACTORS PANEL BEATING & SPRAY PARTITIONING CONTRACTORS PAVING CONTRACTORS PERFORMANCE MANAGEMENT PEST CONTROL SERVICES PETROL STATIONS PLACEMENT OF RECRUITMENT & TENDER/NOTICE ADVERTISEMENT PLASTERING PLOTTING SERVICES PLUMBING PLUMBING CONTRACTORS POINT OF SALE DESIGN SERVICES POWER GENERATION AND DISTRIBUTION MACHINERY AND ACCESSORIES PRE-CAST CONCRETE MANUFACTURER IT PROGRAMMING JOURNALISM JOURNALS LABELS & LABELLING SERVICES LANDSCAPING SERVICES LAUNDRY AND DRY-CLEANING SERVICES LIFT & ESCALATOR EQUIPMENT LIFTING CONTRACTORS LIGHTING CONTRACTORS LOCKSMITH SERVICES LOGO - CROCKERY LOGO - DESIGN SERVICES LOGO - EMBROIDERY SERVICES LOGO - ENGRAVING MAGAZINE PUBLICATION MAGAZINE SUPPLIER MAILING SERVICES MANUFACTURING - PLASTIC PRODUCTS MANUFACTURING MATERIALS & TEXTILES MARKETING MATERIAL SERVICE PROVIDERS - MULTI MEDIA SERVICE STATIONS & GARAGES SEWERAGE INSTALLATIONS/RETICULATIONS SEWERAGE SYSTEMS AND CONSTRUCTION SEWING SERVICES SHUTTLE SERVICES SITE CLEANING SOLID WASTE DISPOSAL SOUND & MUSIC SYSTEMS/EQUIPMENT SPORT CENTRES STEEL WORKS GENERAL STORAGE SERVICES & FACILITY STORAGE SYSTEMS (DOCUMENT & COMPUTER) SURVEYING SERVICES SWIMMING POOLS TEAM BUILDING AND SOCIAL FACILITATION TELECOMMUNICATION TELECOMMUNICATION SYSTEMS TELEPHONE & DATA LINE MAINTENANCE TENNIS COURT SURFACES THATCH ROOFING & TREATMENTS TIME AND ATTENDANCE EQUIPMENT TOURS AND TOURISM TOWING AND SALVAGE 20

21 PRINTING & DESIGN SERVICES PRODUCT INSTALLATION PRODUCT MANUFACTURING QUARRYING CONTRACTORS RADIATOR REPAIRS RECORDING SERVICES, SOUND & CONFERENCE RECREATION CENTRES RECRUITMENT & SELECTION RECRUITMENT AGENCIES RECYCLING SERVICES REFRIGERATION & AIR CONDITIONING REFUSE BULK CONTAINERS REFUSE CONVEYORS REGISTRATION SERVICES COMPANY RENOVATION SERVICES ROOFING & WATERPROOFING SAFES & SAFE REMOVAL SERVICES SAFETY & SECURITY SERVICES SECRETARIAL SERVICES SECURITY & ACCESS CONTROL SECURITY EQUIPMENT, GOODS AND SERVICES SELF DEFENCE TRAINING SEMINARS SERVICE PROVIDERS - CELLULAR, TELEPHONE SERVICE PROVIDERS - CYBERSPACE WHOLESALERS/TRADERS ABRASIVES ART & CRAFT MATERIALS BAGS - CONFERENCE/TRAVEL/PROMOTIONAL BAGS - REFUSE & PLASTIC BATTERIES BEARING SUPPLIES BEVERAGES & ALCOHOL BOLTS, NUTS AND FASTENERS BOOKS BREWERIES & BAR REQUISITES CANDLES CARPETS CARTRIDGES CEILING BOARDS, SKIRTING ETC. CHEMICALS CLEANING EQUIPMENT/MATERIALS CLEANING SUPPLIES/CHEMICALS/PESTICIDES TOWING SERVICES TOWN AND REGIONAL PLANNERS TRACKING SERVICES SECURITY TRACKING SYSTEMS VEHICLE TRAINING PROVIDERS TRANSCRIPTION SERVICES TRANSFORMER SERVICES TRANSLATION AND INTERPRETATION SERVICES TRANSMISSIONS TROPHY'S & ENGRAVING UPHOLSTERY VEHICLE FLEET MANAGEMENT VEHICLE TRACKING VEHICLES VEHICLES BREAKAGE SERVICES - SPARES VEHICLES HIRING VEHICLES INDUSTRY VEHICLES SECURITY & TRACKING SYSTEMS VENDING MACHINES VERIFICATION SERVICES PRODUCT VIDEO PRODUCTION, EDITING AND EQUIPMENT WAREHOUSE AND STORAGE MOVING MACHINERY, EQUIPMENT WAREHOUSING SERVICES WASTE DISPOSAL WATER DISPENSERS WATER WORKS AND PIPELINES COFFEE & VENDING MACHINES COMPUTER COMPONENTS COMPUTER CONSUMABLES COMPUTER EQUIPMENT/SOFTWARE CONCRETE PRODUCTS CONFERENCE ACCESSORIES CONSTRUCTION MACHINERY (TLB, TIPPER TRUCKS, WATER TANKS) CONSUMER PERSONAL CARE PRODUCTS CONTAINERS & PACKAGING CORPORATE GIFTS, CLOTHING, PRODUCTS COSMETICS CROCKERY & CUTLERY CURIOS CURTAINING, RAILS & ACCESSORIES DAIRY & RELATED PRODUCTS DIARIES, CALENDARS, BROCHURES, BOOKLETS AND PAMPHLETS DOMESTIC APPLIANCES 21

22 CLOTHING DOORS AND WINDOWS DRAIN CLEANING SERVICES DRAWING OFFICE EQUIPMENT DRAWING OFFICE SUPPLIES DRUM COPIERS DUPLICATING EQUIPMENT ELECTRICAL APPLIANCES ELECTRICAL CABLES ELECTRICAL COMPONENTS & EQUIPMENT ELECTRICAL SYSTEMS, LIGHTING, COMPONENTS, ACCESSORIES AND SUPPLIES ELECTRONIC APPLIANCES ELECTRONIC COMPONENTS & EQUIPMENT EMERGENCY MEDICAL SUPPLIES & EQUIPMENT ENVELOPES FENCING FIRST AID SUPPLIES & EQUIPMENT FLAGS & MAPS FLOWERS AND PLANTS FOOD & BEVERAGE FOOTWEAR FRANKING MACHINES FUELS, OILS AND LUBRICATIONS FUNCTIONS EQUIPMENT HIRE (TABLES, CHAIRS, TENTS, TOILETS) FURNITURE GARAGE EQUIPMENT GARDENING AND GARDENING EQUIPMENT GAS & HEATING EQUIPMENT GIFTS PROMOTIONAL HARDWARE & BUILDING SUPPLIES HEATERS & HEATING EQUIPMENT HOUSE FURNITURE, APPLIANCES AND GOODS HYDRAULIC ACCESSORIES INDUSTRIAL CHEMICALS INDUSTRIAL TOOLS KNITTING MACHINES & ACCESSORIES LABORATORY CONSUMABLES & EQUIPMENT LEATHER PRODUCTS GENERAL LIGHTS & FITTINGS MAGAZINES MAILROOM EQUIPMENT MAPS MEAT PRODUCTS DOMESTIC CLEANING EQUIPMENT AND SUPPLIES OFFICE FURNITURE PACKAGING MATERIALS PAINT SUPPLIES PAPER & STATIONERY PERISHABLES SUPPLIERS PHARMACEUTICALS PHOTOGRAPHY EQUIPMENT PIPE AND IRRIGATION SUPPLIES PLANT HIRE EQUIPMENT PLUMBING WARE AND MATERIALS POWER TOOLS PRINTING CONSUMABLES PROMOTIONAL MATERIAL PROTECTIVE CLOTHING/UNIFORMS PUMP SPARES RADIO/RADIO EQUIPMENT SANITARY WARE SANITATION WARE AND EQUIPMENT SECURITY & ACCESS CONTROL EQUIPMENT SIGNS SILK IMPORTER SMALL TOOLS SPARES AND PARTS SPICES SPORTS AND RECREATIONAL EQUIPMENT AND GOODS STATIONERY OFFICE BASIC SURVEYING INSTRUMENTS TELECOMMUNICATION EQUIPMENT TENTS & CANVAS GOODS TEXTILES GENERAL TOILET PAPER - MANUFACTURERS & SALES TOOLS ELECTRICAL & MECHANICAL TYRES & TUBES VALVES, COUPLING VEHICLE DEALERSHIP VEHICLES AUDIO & EQUIPMENT WASHROOM CLEANING CHEMICALS & EQUIPMENT WATER METERS, PIPES, FITTINGS, GALVANISED PVC ETC. WEB PAGES & DESIGN WEB SOLUTIONS DESIGN & MAINTENANCE WEBSITE DESIGN & DEVELOPMENT WINDOW CLEANING 22

23 MECHANICAL SEALS AND PACKING MEDICAL EQUIPMENT/INSTRUMENTS MEDICAL SUPPLIES & EQUIPMENT MEDICAL/ANALYTICAL EQUIPMENT AND CONSUMABLES MINING PRODUCTS MULTI MEDIA PRODUCTS & AIDS NEWSPAPERS OFFICE AUTOMATION EQUIPMENT OFFICE CONSUMABLES OFFICE EQUIPMENT WINDOW FITTING & GLASS WINDSCREEN FITMENT WINDSCREENS WINE DISTRIBUTORS WIRE WORKS GENERAL (MESH & SCREENING) WORKSHOP EQUIPMENT WORKSHOP FACILITATIONS WORKSHOP REQUISITES WRITING ARTICLES & EDITORIALS WRITING SERVICES Summary: Core Business In your own words, please state your core business: 1 2 Trade Name (= sole supplier of specific brand name) Fill the specific brand names that the company own or solely distribute, which you wish to register: 23

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