Purchase Order Funding Applicant Name *Are you a company or an individual *companyindividualID Number *Registered Company Full Name *Company Registration Number *Are you VAT Registered? *Please selectYesNoVAT Registration Number: *Are you registered with CSD(Central Supplier Database)? *Please selectYesNoPhysical Address *Enter the physical street address of the company.Is your Physical Address the same as your Postal Address? *Please select an optionYesNoPostal Address *Provide the postal address where correspondence should be sent.Telephone Number *Enter the primary telephone number for the applicant or company.Cell NumberProvide a mobile/cell number for the applicant or company contact person.E-Mail *Enter the email address for communication and updates.Purchase Order Issuer *Specify the Full Name of the organisation/company/department that issued the purchase order.Purchase Order Value *Specify the total value of the purchase order(s) in ZAR.Cost of Material and Delivery (Supplier Quote) *Provide the total cost, including material and delivery expenses as per the quote(s) in ZAR.How much of the total costs will be funded by you: *Where did you hear about us? *Please selectEventSocial MediaWebsiteFrom friendOtherAttach Purchase Order(s) *Choose a file to upload or drag and drop hereDrag and Drop (or) Choose FilesAttach Quotation(s) *Choose a file to upload or drag and drop hereDrag and Drop (or) Choose FilesIs the PO issued by a State Owned Enterprise (SOE) or municipality? *Please selectSOEMunicipalityApplication Process Rating: *012345SubmitPlease do not fill in this field.
