SUPPLIER APPLICATION FOR APPROVAL RS3 MASTER
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PART A:SUPPLIER APPLICATION FOR APPROVAL OR REMOVAL

KSB person submitting this application: / Tel:
Position:
Signature: / Date:
Is this assessment / New? / Re-assessment? / Removal?
Proposed Supplier’s Name:
Trading as:
Telephone: / Code: / Number:
Facsimile: / Code: / Number:
Contact Person:
Proposed Product / Service:
Justification for new Supplier:
Frequency of purchases: / number of orders per year
Dealt with KSB before? / No / Yes / Year
If YES, why did supply stop?
MANAGEMENT STRUCTURE
Position / Initials and Family name / Telephone / Facsimile / Email
CEO / MD :
Accountant :
Accounts Contact :
Production Manager :
Sales Manager :
Logistics Manager :
QA Manager :
:
:

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FICA REQUIREMENTS LIST

DOCUMENTS HAVE TO BE SUBMITTED BY SUPPLIERS NOT REGISTERED ON THE STOCK EXCHANGE.
(Copies are acceptable where appropriate). / Check
  • Cancelled Cheque

  • Letter from bank confirming banking details

  • Directors details, as per FICA requirements

  • A copy of the Company letterhead complete with Physical and Postal addresses, Telephone and Facsimile numbers, and if applicable, Director or Member names.

  • VAT certificate copy

  • BBBEE certificate Applies to SME’s etc. (Valid copy, check expiry date)

  • Company Registration Document

  • Proof of physical location – if not the same as on the Company’s letterhead – a municipal account or lease document will suffice.

  • Letter of Good Standing – essential where appropriate (Labour related).

  • SAP Data sheet completed by KSB Personnel.
KSB Personnel must complete the Settlement discount section, or the forms WILL NOT BE PROCESSED.

KSB QUALITY ASSURANCE REQUIREMENTS

Company Profile Document / Exists / Yes/No / Received by KSB / Yes/No
ISO Rating Document / Exists / Yes/No / Received by KSB / Yes/No
Traceable Metrology? / Exists / Yes/No / Received by KSB / Yes/No

PART B:KSB QUALITY ASSURANCE SUPPLIER ASSESSMENT REPORT

ASSESSMENT TEAM

Department / Person responsible / Accepted / Rejected
Purchasing / Robert Scorgie
Quality Assurance / Frank De Freitas
Technical / Don Buchanan
Production / Paul Timms

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FINDINGS

REASON FOR DECISION:

SIGNATURES

______

QA Manager Purchasing Manager

DATE: ______DATE: ______

WHEN APPROPRIATE/REQUIRED:

______

Technical ManagerProduction Manager

DATE: ______DATE: ______

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KSB PERSONNEL TO COMPLETE THIS FORM

1 / Company Name
2 / Street Address 1
3 / Street Address 2
4 / City (Physical)
5 / Province
6 / Postal Code (Physical)
7 / P. O. Box Number
8 / City (Postal Address)
9 / Postal Code (for PO Box)
10 / Telephone number
11 / Facsimile Number
12 / VAT Number
13 / Payment Terms / Settlement discount: % / 15 / 30 / days
Trade discount %
14 / B.E.E. Status / Certificate Dated:
15 / Country Code (HO use)
16 / Currency Code (HO use)
17 / Purchaser Code (HO use)
18 / Accounting Clerk (HO use)
19 / Account Group (HO use)
20 / Recon Account (HO use)
Authorised by: / Date:
Print name: / ROBERT SCORGIE
Data Input by: / Date:
Print name:

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