COMPANY CONTACT
COMPANY NAME * PHYSICAL ADDRESS *
TELEPHONE *
STREET CITY
DISTRICT COUNTRY
EMAIL * WEBSITE
POINT OF CONTACT NAME & TITLE * CONTACT EMAIL
CONTACT PHONE 1 CONTACT PHONE 2
COMPANY OVERVIEW
GENERAL DETAILS OF SERVICES / GOODS *
DATE COMPANY ESTABLISHED GROSS ANNUAL SALES
BUSINESS TYPE *
TRADER'S LICENCE FILE TRADER'S LICENCE NUMBER *
TAX CLEARANCE FILE TAX CLEARANCE NUMBER *
TRADER'S LICENCE EXPIRY DATE * TAX CLEARANCE EXPIRY DATE *
BANKING INFORMATION
BANK NAME BANK ADDRESS
ACCOUNT TYPE
ACCOUNT NUMBER
BANK STATEMENT
CERTIFICATION
I hereby affirm that all information supplied is true and accurate to the best of my knowledge and belief, and I understand that this information will be considered material in the evaluation of quotations, bids, and proposals.