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Local Supplier (South Africa) – BBBEE Supplier Registration Form
Submit Your Application
"
*
" indicates required fields
Step
1
of
3
33%
Company Information
Company Name
*
Country of Registration
*
Registration Number
*
Company Address
*
Contact Person
Full Name
*
Email
*
Phone
*
Position/Role
*
BBBEE Information
BBBEE Status Level
*
Level 1: 100+ points (135% Procurement Recognition)
Level 2: 85 – 99.99 points (125% Procurement Recognition)
Level 3: 75 – 84.99 points (110% Procurement Recognition)
Level 4: 65 – 74.99 points (100% Procurement Recognition)
Level 5: 55 – 64.99 points (80% Procurement Recognition)
Level 6: 45 – 54.99 points (60% Procurement Recognition)
Level 7: 40 – 44.99 points (50% Procurement Recognition)
Level 8: 30 – 39.99 points (10% Procurement Recognition)
Non-Compliant: Below 30 points (0% Recognition)
BBBEE Certificate / Sworn Affidavit Upload (PDF)
*
Max. file size: 2 MB.
Expiry Date of BBBEE Certificate
*
MM slash DD slash YYYY
Are you an EME / QSE / Generic?
*
EME
QSE
Generic
Black Woman-Owned?
*
Yes
No
Youth-Owned?
*
Yes
No
Business Capabilities
Primary Products / Services Offered
*
Industry Category
*
Tech
Training
Mining Services
Engineering
PPE
Company Profile (PDF)
*
Max. file size: 2 MB.
Relevant Certifications/Compliance Upload (optional)
Max. file size: 2 MB.
Operational Information
Ability to Support On-site Deployment?
*
Yes
No
Existing Mining Clients?
*
Yes
No
List of Mining Clients
*
Regions/Countries You Supply
*
Declarations
*
“I confirm the information provided is true and accurate.”
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