Suppliersregistration Form

SUPPLIERSREGISTRATION FORM

Enquiries:MrMJChueu,Tel:012401 1976,Email:

Thepurpose ofthisdatabase istogiveallprospectivesuppliersan equalopportunityto submitquotations to Tshwane North College.

Preferencewill be given toregisteredsuppliers andin caseswheresuitablesuppliersare notavailableon theregistereddatabase, Tshwane North Collegereservesthe rightto sourcequotations ofthe supply ofgoodsandservicesoutsidethe database.

Certifiedcopiesofthefollowingdocumentsmustbeattachedtoapplicationform:

a)Aconcisecompanyprofile

b)CompanyCertificateorShareholder(s)register;

c)TaxClearanceCertificate:

d)VATregistrationcertificate(forVATvendorsonly);

e)B-BBEE

f)Municipal Account not more than three months

g)IDforallmembers/partners/directors.

h)CIDB certificate (Only for Construction)

i)CSD summary report

Failuretosubmitalltheabovedocumentswillresultinnon-registration.

Attachedpleasefindanofficialregistrationformtoassistusinupdatingourdatabaseaccordingtolegislation.

Thefollowingimportantnotesshouldbereadcarefullybeforethecompletionofthisform

1.Registrationformtobecompletedbyallbusinessesseekingtoconductbusiness with TNC.

Acompanyprofile/BEEprofilewillnotbeacceptedasreplacementfortheapplicationform.

2.Thisformmustbecompletedinfullandsignedbytheowner(s)ormanageroradministrationhead.

3.Fullsignatureisrequiredwhenalterationsaremadeinthisdocument.

4.Iftheinformationrequiredisnotapplicabletoyourbusiness,clearlyinsertN/Aintheappropriatespace.

5.Marktheappropriatesquarewithan'X'whereitisapplicabletoyou.

6.AllfieldsonapplicationformMUSTbecompletedbyapplicant;ifthespaceprovidedisleftblank,itwillberegardedasinformationthatisstilloutstandingandyouwillnotberegistered.

7.Thefrontpageoftheformmustbeclearlymarked"DATABASE"andbepostedtothe belowpostaladdressorhanddeliveredto TNC.

8.Businessesprovidinginformationintentionallyincorrectlyorfraudulentlywillbedisqualified.

9.Applicantswhohavebeendeclaredinsolventandwishtodobusinesswith TNCmusthavebeenrehabilitatedandprovidethenecessaryproofthereof.

10.Businessesblacklistedbyanyorgansofstate*mustfirstberemovedorclearedfromblacklistbeforeregistration.

11.Fronting*willresultinabusinessbeingblacklisted.

12.TNChastherighttovisitthebusinesspremisestoverifytheinformationprovidedinthisform.

13.Members/directors/partners/ownersinservicewithanyorganofstate*management;mustdeclareanyconflictofinterest.Failuretodosomayleadtodisqualificationorde-registration.

14.Thisisonlyaregistrationformforourdatabaseanddoesnotguaranteeanyawardofbid/contract.

15.TNCreservestherighttorejectanyapplication,whichinitsopinionfailedtocomplywiththeregistrationrequirementsorcriteria.

Itisimperativethatsuppliersreadtheapplicationdocument carefully,completeit infulland signit.

Completeddocumentsshould be sent to:

Forattention: SupplyChainManagement Unit

Tshwane North TVET College

POBox 26193

Acardia

0007

Or handdeliveredto:

Forattention: TheSupplyChainOffice

Room W7

Kgosi Mampuru Street

Cnr Pretorius and Kgosi Mampuru Street

Pretoria

Companyregistrationdetails
CompanyName:
TradingName
Reg.No: / VatNo.:
e.g.2004/140566/23
Income TaxNo.: / Numberoffull time employees:
Accreditation / Certification
*CidbNumber / Prof.Reg.Date
*ContractorGradeCE
e.g 5CEPE
PEStatus
**SAACEReg.No./otherprof.reg.no.
*Note:Cidbinfo. for contractorsonly / GBEESWME

**Note:SAACENo. for professionalsonly
CompanyDetails
WebsiteAddress:EmailAddress:
Telkomareacode:e.g. 012,011ect.
TelephoneNo.FaxNo:
CellNo.
PostalAddress:
City/Town:
PostalCode:
PhysicalAddress:
City/Town
PostalCode:
ClassificationofBusiness:Pleasealltherelevantboxes
ISOListed / Importer / Services / Manufacturer / Repairer / Blackowned / Distributor / Exporter / Sales
Contact PersonDetails
ContactPerson:- / Title: / FirstName:
Surname: / ID No.:
CellNo.: / Work No.:
FaxNo.: / Position:
E-mail:
PleasecompleteAnnexure5:List of Owners/ Proprietors/ Partners/ SoleProprietors/ Trustees
%ofownership
%ofownership
%ofownership
SBDGoals Information:
SkillsEmpowermentHumanResourcesUpliftmentofCommunities
LocalityProvince / No / Yes / If"Yes" please define:
Agriculture /

Wholesale Trade,Commercial

/ 
MiningandQuarrying / Catering,Accommodation,Other / 
Manufacturing / TransportandStorage / 
Electricity,GasandWater / Finance andBusinessServices / 
Construction / Community,SocialandPersonal / 
Retail,Motor Trade andRepair / 

Declaration
Verification of information supplied, including informationrelating to preferencesthat theApplicant orBusinessmayapplyfor:
I/we, the undersigned, who warrants that I/we are duly authorised to do so on behalf of the supplier, certifies that the information supplied in terms of this document including the Annexure(s) with additional information, is correct and accurate and acknowledges that:
1.Thesupplierwillberequiredtofurnishdocumentaryproofoftheinformationrelatingtopreferences,ifrequestedtodoso.
2.Iftheinformationsuppliedisfoundtobeincorrect,thenTshwane North TVET College may,inadditiontoanyremediesitmayhave:
(i) Disqualifythesupplier/contractorforaparticularbid/contract/projectitmaybeconsideredfor,orwhichhadbeenawardedtothesupplier/contractor;
(ii Recoverfromthesupplier/contractorforallcosts,lossesordamagesincurredor
sustainedbyTshwane North Collegeasaresultofbreachofcontract;
(iiiCancelthecontractandclaimanydamageswhichTshwane North Collegemaysufferbyfavourablearrangementsaftersuchcancellationand/or;
(ivDe-registerthesupplierregisteredontheSupplierDatabase
3.AregisteredsupplierMUSTnotifySupplyChainManagementOfficeofanychangestoinformationsuppliedonthisform.FailuretodosomayresultinsuchasupplierbeingremovedfromtheSupplierdatabaseand/orthecancellationofcontractsawardedtothesupplier,onthebasisofmisrepresentation.
Signedon thisdayof20at
Signature of AuthorisedRepresentative
Name in BlockLetters
Commissioner of Oaths
BusinessAddress
Capacity
Area
CommissionerofOathsSignature / CommissionerofOathsFullName

Annexure1-SMMEtable

ValuesoffollowingitemsdependentonmostrecentFinancialStatement
Item / Value
TotalnumberoffulltimeEmployees
TotalAnnualTurnover / R
TotalGrossAssetValue / R

Thefollowingtablemust becompletedtoestablishwhether abusinesscanbeclassifiedasanSMME intermsof theNationalSmallBusinessAct 102of 1996.

Select theSector andticktheappropriateblocksinColumn2, 3and4next toyour chosensector

Column 1 / Column 2 (tick applicable) / Column 3 (tick applicable) Column 4 (tic / k applicable)
Sectorsinaccordancewith thestandard Industrial Council / Totalfulltime paid employees / TotalAnnualturnover(millions) / TotalGross assetvalue(property exluced)(millions)
Medium / Small / VerySmall / Micro / Medium / Small / VerySmall / Micro / Medium / Small / VerySmall / Micro
Agriculture / 100 / 50 / 10 / 5 / 4m / 2m / 0.4m / 0.15m / 4m / 2m / 0.4m / 0.1m
Catering,Accommodation & othertrade / 100 / 50 / 10 / 5 / 10m / 5m / 1m / 0.15m / 2m / 1m / 0.2m / 0.1m
Community,Social and Personal / 100 / 50 / 10 / 5 / 10m / 5m / 1m / 0.15m / 5m / 2.5m / 0.5m / 0.1m
Construction / 200 / 50 / 20 / 5 / 20m / 5m / 2m / 0.15m / 4m / 1m / 0.4m / 0.1m
Electricity,Gasand Water / 200 / 50 / 20 / 5 / 40m / 10m / 4m / 0.15m / 15m / 3.75m / 1.5m / 0.1m
Finance and BusinessServices / 100 / 50 / 10 / 5 / 20m / 10m / 2m / 0.15m / 4m / 2m / 0.4m / 0.1m
Manufacturing / 200 / 50 / 20 / 5 / 40m / 10m / 4m / 0.15m / 15m / 3.75m / 1.5 / 0.1m
Mining and Quarrying / 200 / 50 / 20 / 5 / 30m / 7.5m / 3m / 0.15m / 18m / 4.5m / 1.8m / 0.1m
OtherTrade / 100 / 50 / 10 / 5 / 10m / 5m / 1m / 0.15m / 2m / 1m / 0.2m / 0.1m
Retail,MotorTrade and RepairServices / 100 / 50 / 10 / 5 / 30m / 15m / 3m / 0.15m / 5m / 2.5m / 0.5m / 0.1m
Transport,Storage andCommunications / 100 / 50 / 10 / 5 / 20m / 10m / 2m / 0.15m / 5m / 2.5m / 0.5m / 0.1m
Wholesale Trade,CommercialAgents,and AlliedServices / 100 / 50 / 10 / 5 / 50m / 25m / 5m / 0.15m / 8m / 4m / 0.5m / 0.1m
Forofficeuseonly
Summaryofresults / SMMEStatusasperabove(appropriateblock)
Column2
Column3
Column4 / mediumsmallverysmallmicromediumsmallverysmallmicromediumsmallverysmallmicro

Annexure2-Commoditylist

PleaseindicatewithPleasenote: only commoditieswill beregistered

Construction
Air-conditioning SystemsAlarm/Security/AccessControl
AutomaticHangerDoorsAutomaticSlidingDoors
AutoSprinkleFireProtection SystemsBrickwork/Masonry
Cabinet/FurnitureMakingCarpeting/Tiling/FloorcoveringCeilings,PartitioningandShopfittingCladdingContracts
CookingRelated SystemsCompressed Air InstallationsConcreteworks
Demolition
Electrical Contracts / Evacuation SystemsFencing
GeneralBuildingWorkGlazing
Hauling/Heavy Equip/TransportHotWater Installations
IncineratorsLandscaping/EarthworksLiftEscalatorEquipmentMechanicalContractsMetalworkBurglarBarsPainting
Paving
Plastering
Plumbing
PrecastConcrete / ManufacturePumpingInstallations
RoofingWaterproofing
SewerageInstallations/ReticulationsSteamInstallationsAncillaryEquipment
SteelFabricationErectionStormwaterDraining
Water installations/reticulations
Other(Specify)
Services
Accommodation
Advertising/PublicRelationsAutoRepairsServices
AutoElectricalandHydraulicRepairsBookkeepers
CarpetCleaningCartridges
Catering/Vending/FoodSupplyCleaningServices
ComputerSupplies/Services
CorporateGifts/CorporateClothingCopywriting
CourierServices
CleaningEquipment/MaterialsData Backup ServicesSoftware
DataCapturingManagementServices
DebtCollection
DocumentBindingServicesEducationalServicesEntertainment
Equipment & Tools Hire
ExhibitionCentres
FireExtinguishersRefills
FireHydrants
FoodBeverage
Florist / GardenServices
Handyman Services
Interior/IndustrialDesign
ITMaintenance
ITManagement
ITNetworking
ITProgramming
Laundry Service/Dry CleaningLocksmith Services
MediaLiaisonMailing/CourierService
MunicipalServices
Office Maintenance
PestRemovalServices
Performance managementPrinting/Photography/GraphicDesign
PromotionalMaterial Publishing
RadioPublicity/TVPublicity
Recycling and Disposal
RecruitmentAgencies
Safety Security Services
Services HV & LV
Switchgear/Transformers
Site Cleaning
Telecommunication / Trailers Hire
TransportationServices
TravelAgencies
Telephone&DataLineMaintenanceTrainingDevelopmentUpholsterers
WebpagesDesign
Wind SocksfortheAerodome
Others (Specify)
ProfessionalServices
Accountants/FinancialAdvisory ServicesArchitects
Attorneys/LegalServicesArchivalServicesConsultants
BusinessInformationManagementConsultingEngineers(Geotechnical)ConsultingEngineers(Civil/Structure)ConsultingEngineers(Electrical)ConsultingEngineers(Mechanical)ConsultingEngineers
EAPConsultants / Job DescriptionConsultantsLandSurveyors
LegalComplianceConsultantsMedicalPractitioners
OHSConsultantsOrganisationDevelopmentConsultants
Project Managers
Quantity Surveyors
Training Providers
TranslationServices / Other(Specify)
Wholesalers/Traders
AutomotiveParts
Books
BuildingMaterials/Hardware
Batteries
CleaningSupplies/Chemicals/Pesticides
Cartridges
Clothing
ComputerEquipment/SoftwareCurtains
ConsumablesDomesticAppliancesEnvelopes
Groceries
ElectricalSuppliesEquipmentFireExtinguishing
FireProtectionDetectionFloorCoverings
FoodSupplies
Fertilisers
Fuel Supplies / Furniture
Fencing
FireFightingEquipmentand
Consumables
GeneratingSets
HealthSafety and
EnvironmentalSuppliers
ITHardware
Software
IndustrialCateringEquipmentLaundry Equipment
Linen,PillowsBlankets
MedicalSuppliesEquipment
NGO's/NBO's
Office ConsumablesOffice EquipmentPaintSuppliesPaperStationery
RecreationalSuppliesRefrigerationAirConditioning / ProtectiveClothing/Uniforms
Supply Plants,FlowersandSeeds
Supply ToiletPaperWrapped/Unwrapped
SafetySigns/Materials
Vehicles
Workshop Equipment
Other(Specify)
TradeName(=solesupplierofspecificbrandname)
Fillthespecificbrandnamesthatthecompanyownorsolelydistribute,whichyouwishtoregister:

Annexure3-RequiredDocumentationChecklist

Forofficeuseonly
Capturedby: / Name: / Signature: / Date:
Date:New
Status:Approved Declined AwaitingApproval / Update
DoneVATChecked:YesNo / Reasonif"No":
SendSummaryReport / Yes / No / Reasonif"No":
Verified by: / Name: / Signature: / Date:
Annexure4-BankingInformation
AFFIX OFFICIALBANKSTAMPHERE / BankName:BankLocation:BranchName:BranchCode:AccountHolder:AccountNumber:AccountType:
BankOfficialName:
Designation:Signature:
Reference Number / Description to be used:

Cancelled cheque

Annexure5-Proprietors/Shareholders/Partners/SoleProprietors/Trustees/Owners
Pleaselistallowners(aslistedabove)
Name / Position / IDNo. / Cellular / Share% / HDI / WE / Diabled
Annexure6- terms and conditions
1.Please do not deliver any goods and/or services without receiving an official order from TNC.
2.All quotations must be on a company letterhead and include your company details, VAT number, date of the quotation and the expiry date of the quotation. Please indicate the sales person name on the quotation and sign the quotation.
3.TNC's order number must appear on the Delivery Note and Tax Invoice. Any Tax Invoices and Delivery Notes without an order number will be ignored and returned to your company. Tax Invoices without order numbers are seen as private agreements between individual(s) and the Supplier.
4.The seller shall bear the risk of goods being damaged, lost or destroyed until delivery to TNC is effected and receipt thereof is acknowledged.
5.The seller shall make provision for suitable packaging and preservation in all quotations. Unless otherwise stated all packaging containers and material shall become property of TNC upon delivery.
6.Unless otherwise stated, all goods shall be new and of the best quality. Goods shall be subject to approval by TNC at all times. The seller shall not be released from its obligations in respect of suitability of the materials and / or the quality of the goods by reason of the fact that TNC made no objection, even though the said goods may have been inspected by TNC or by reason of the fact that delivery thereof was taken by or on behalf of TNC.
7.Should the seller be unable to fulfil its obligations in terms of the order, it shall advise TNC to the effect in writing. In which case TNC reserves the right to cancel the order and to purchase the goods from another supplier. The Seller may be obligated to compensate TNC for any differences in the cost.
8.In as much as delivery of the goods may require the Seller or its authorized agent to enter TNC's premises, the Seller shall ensure that such precautions as are necessary to protect life and property anywhere on TNC's premises are taken, and the Seller shall be liable to TNC for injury to any person, or damage to TNC's property caused by or incidental upon negligence or default on the part of the Seller or its authorized agent.
9.No alterations to an order may be made without the written approval of the Procurement Department of TNC.
11.Part deliveries will be accepted only under exceptional circumstances. Payment thereof will be made only when all goods / services have been delivered.
12.TNC reserves the right to cancel any order in the event where the goods or services are not delivered by the agreed date.
13.It is a strict TNC requirement that all prospective Suppliers must complete a Supplier Registration Application form in full to be registered on its database.
14.All invoice and statements must be forwarded to the address below:
Tshwane North TVET College
Creditors Department
Department of Finance
W10 Building
PO Box 26193
Acardia
0007
15.Should the Seller accept the order, or should the order not be returned within 10 days of the date thereof, it shall be assumed that the conditions as set out in the paragraphs above are binding.
16.It is the Suppliers responsibility to inform TNC of any changes of contact details, company details or banking details and to submit all expired documents annually. Failure to adhere to the above will lead to the Supplier being made Non-Active on TNC's Supplier Database.
17.Payment will be made within thirty days.
Name and Surname: / Position:
Signature: / Date:

Annexure7- General informationDefinitions

HDIOwnershipStatus:Pleasereadnotesbelowverycarefully

InstructionsandDefinitions:

Legislation:

ProceduresaresetoutintheAccountingOfficersProcurementProcedures(AOPP) asreferredtointhePublicFinanceManagementAct,1999(Act1of1999)(PFMA),togiveallprospectivesuppliersanequalopportunitytosubmitquotationstoaStateDepartment.

Terminology:

Commodities:

Thecommoditiesthecompanywishestoberegisteredforasasupplier.Pleasedefineyourprincipalbusinesstoamaximumof10commodities.

TradeNames:

Thetradenamesthatthecompanyownordistribute,whichyouwishtoberegisteredfor.

Owned:

Havingallthecustomaryelementsofownership,includingtherightofdecision-makingandsharingalltherisksandprofitscommensuratewiththedegreeofownershipinterestsasdemonstratedbyanexaminationratherthantheformofownershiparrangements.

HistoricallyDisadvantagedIndividuals(HDI):

ForthepurposeofregisteringasasupplierforTNC,therefutablepresumptionshallbemadethatSAcitizenswhofallintopopulationgroupsthathadnofranchiseinnationalelectionspriortotheintroductionofthe1983and1993constitutionareHistoricallyDisadvantagedIndividuals.Itisincumbentonindividualstodemonstratetheirclaimstofallintosuchpopulationgroupsonthebasisofidentificationandassociationwithandrecognitionbythemembersofsuchagroup.

Women:

AfemalepersonwhoisaSAcitizen.

Disability:

Inrespectofaperson,apermanentofphysical,intellectual,orsensoryfunction,whichresultinrestricted,orlack of,abilitytoperformanactivityinthemanner,orwithintheconsiderednormalforahumanbeing.

EstablishmentofHDI/WomenEquityOwnershipinanenterprise:

Equityownershipshallbeequatedtothepercentageofanenterprisewhichisownedbyindividuals,orinthecaseofacompany,thepercentagesharesthatareownedbyindividualswhoareactivelyinvolvedinthemanagementanddailybusinessoperationsoftheenterpriseandexercisecontrolovertheenterprise,commensuratewiththeirdegreeofownership.

Fronting:

CompanieswithnoBlackEconomicEmpowerment(BEE)statusillegallyclaimingtobeheadedbypreviouslydisadvantagedindividuals*andclaimfalseBEEcredentialsinordertowintenders/contracts.