Pareto Limited

Contact

Contact

Online Supplier Form

Please indicate (X) the geographical areas where your business is willing and capable of supplying services to Pareto:

Bloemfontein		Cape Town		Durban
Johannesburg		Pretoria

PLEASE TICK NEXT TO THE SERVICE OR SERVICES YOUR COMPANY HAS TO OFFER

(ONLY TICK ONE BOX AND COMPLETE ADDITIONAL UPDATE FORM FOR EACH AREA OF ADDITIONAL SERVICES)

Project Management Services
Accounting Services
Internal Audit Services
External Audit Services
Taxation Services
Finance and Valuation Services
Deal structuring Services
Legal Services
Other Professional Services – Please specify
Interior Designer
Stationery & printing
Information technology services
Hotel and Accomodation
Catering
Car Hire Services
Furniture and Office Equipment

SUPPLIER UPDATE FORM

SECTION A : SUPPLIER DETAIL

All supplier information will be treated strictly confidentially. We prefer to do business with suppliers with a minimum of 51% black ownership and a level 5 BEE rating but non-compliance will not result in exclusion.

Registered name of business:
Tel:
Fax:
Email:
Web site:
Contact Person:
Cell:
Physical Address:
Postal Address:

SECTION B: TEAM EXPERIENCE

EXECUTIVE DIRECTORS

NAME	QUALIFICATIONS	YEARS OF EXPERIENCE	RACE	ID NUMBER

MANAGEMENT TEAM

NAME	QUALIFICATIONS	YEARS OF EXPERIENCE	RACE	ID NUMBER

SECTION C: FINANCIAL

Are there any pending legal proceedings or previous judgements against your business or has your business ever been declared bankrupt?

If yes, please elaborate.

CONDITIONS FOR APPROVAL

Pareto reserves the right to verify all information made by the supplier in this update form.
Any changes in Company registration should be communicated to Pareto within 30 days following the change.

I hereby give permission to Pareto Ltd to make enquiries at a credit bureau in respect of the above named Company's credit affairs, and I acknowledge that such information will be solely used to assess the application in this regard.

I hereby confirm on behalf of the above named company that the above information and attachments are true and accurate.

NAME:
DESIGNATION:
DATE:

CHECKLIST FOR DOCUMENTS TO BE ATTACHED

Certified copies of the following documents have to be included

Company registration documents issued by CIPRO:
ID Documents of Directors / Owners / Members / Shareholders:
Valid Tax Clearance Certificate:
Copy of COID registration certificate, if applicable:
Any other registration certificate pertaining to your relevant industry, e.g. ECB (Electrical Contractors Board), Public Insurance Certificate, Public Indemnity Cover details etc:
Company organogram, showing holding and subsidiary companies, indicating shareholding (Company Profile):
Valid BEE certificate issued by SANAS accredited rating agency:
An original cancelled cheque or stamped letter from the bank, verifying banking details. Please note that any changes to bank details in future will be subject to the same requirement:
Share register by race group:
Audited financial certificate for the last financial year showing turnover of business:

NB. FAILURE TO SUPPLY ANY OF THE ABOVEMENTIONED DOCUMENTS MAY RESULT IN THIS UPDATE FORM NOT BEING ASSESSED.

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