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Contact Us On:
(010) 085 5000
Apply for Purchase Order Funding
Application Form
"
*
" indicates required fields
Step
1
of
3
33%
Company Information
Name
*
First
Last
Email
*
Phone
*
Company Name
*
Company Registration Number
*
Purchase Order Details
Purchase Order Ref. No:
*
Govt. Department
*
Delivery Due Date
*
DD slash MM slash YYYY
Purchase Order Value:
*
Please enter a number greater than or equal to
100000
.
Your Supplier Cost:
*
Please enter a number greater than or equal to
100000
.
Required Documents
RFQ + Purchase Order + Bid Document
*
Drop files here or
Select files
Accepted file types: pdf, jpg, png, doc, docx, gif, Max. file size: 1 GB.
Letter of Award for Purchase Order
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Select files
Accepted file types: pdf, Max. file size: 1 GB.
CIPC Registration Documents
*
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Select files
Accepted file types: pdf, Max. file size: 1 GB.
CSD Report (Central Supplier Database)
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Select files
Accepted file types: pdf, Max. file size: 1 GB.
Certified IDs of Director/s
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Select files
Accepted file types: pdf, Max. file size: 1 GB.
Proof of Residential Address for the Business and Each Director
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Select files
Accepted file types: pdf, Max. file size: 1 GB.
SARS Tax Pin
*
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Select files
Accepted file types: pdf, Max. file size: 1 GB.
B-BBEE Certificate/Affidavit
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Select files
Accepted file types: pdf, Max. file size: 1 GB.
3-6 Months Bank Statement
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Select files
Accepted file types: pdf, Max. file size: 1 GB.
Current Cost Quote from the Supplier
*
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Select files
Accepted file types: pdf, Max. file size: 1 GB.
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*
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