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    Supplier Application Form

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    Sabatam
    The document is a supplier history form for Lesotho Electricity Company that collects information about supplier details, ownership, financials, products/services, directors, employees, and documentation requirements. It requests information such as the supplier's registered name, address, bank details, nature of business, product range, number of employees, payment terms, and requires attachments of registration documents, financial statements, references, and tax clearance.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Supplier Application Form

    Uploaded by

    Sabatam
    93 views2 pages
    The document is a supplier history form for Lesotho Electricity Company that collects information about supplier details, ownership, financials, products/services, directors, employees, and documentation requirements. It requests information such as the supplier's registered name, address, bank details, nature of business, product range, number of employees, payment terms, and requires attachments of registration documents, financial statements, references, and tax clearance.

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    The document is a supplier history form for Lesotho Electricity Company that collects information about supplier details, ownership, financials, products/services, directors, employees, and documentation requirements. It requests information such as the supplier's registered name, address, bank details, nature of business, product range, number of employees, payment terms, and requires attachments of registration documents, financial statements, references, and tax clearance.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    93 views2 pages

    Supplier Application Form

    Uploaded by

    Sabatam
    The document is a supplier history form for Lesotho Electricity Company that collects information about supplier details, ownership, financials, products/services, directors, employees, and documentation requirements. It requests information such as the supplier's registered name, address, bank details, nature of business, product range, number of employees, payment terms, and requires attachments of registration documents, financial statements, references, and tax clearance.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Lesotho Electricity Company (Pty) Ltd

    SUPPLIER HISTORY FORM

    QUESTIONNAIRE TO BE COMPLETED BY LEC SUPPLIERS

    1. SUPPLIER DETAIL

    Full registered name:………………………………………………………………………………


    Trading Name:……………………………………………………………………………………..
    Registration Number:…………………………………Date Established…………….………..
    Name of holding company (if any):……………………………………………………………..
    Name of subsidiary companies (if any):………………………………………………………….
    Premises rented or owned:………………………………………………………………………..
    Type of entity (mark with x): Public company:……………. Private company:………
    Close corporation:………….. Partnership:…………….
    Other: …..……………………
    (Please define)……………………………………...
    Physical address:…………………………………………………………………………………..
    Postal address:……………………………………………………………………………………..
    Registered office:…………………………………………………………………………………..
    Telephone number:………………………………Fax number:………………………………….
    E-mail address:……………………………………………………………………………………..
    Auditors:……………………………………………… Tel no.: …………………………………
    Address:……………………………………………………………………………………………..

    2. IF AN INDIVIDUAL
    Full names:…………………………………………… ID number………………………..
    Physical address:…………………………………………………………………………………..
    Telephone number:…………………………………. Cell number:……………………..
    Occupation:…………………………………………………………………………………………
    In present line of business since:…………………………………………………………………
    Are you an unrehabilitated insolvent?…………………………………………………………...
    Bookkeeper:………………………………………………………………………………………...
    Bookkeeper’s address:…………………………………………………………………………….

    3. FINANCIAL DETAILS
    Financial equity held by Lesotho companies:………………………………………………….
    Financial equity held by foreign companies:…………………………………………………..

    Suppliers Registration Form 1


    Lesotho Electricity Company (Pty) Ltd

    BANKING DETAILS
    Bank:……………………………………………… Account number:………………………….
    Branch:…………………………………………… Branch code:………………………………
    Do you have a problem to provide your annual reports/ financial statements (Yes/ No)?

    4. PRODUCTS / PARTS / SERVICES:


    Nature of business:………………………………………………………………………………...
    Product range:………………………………………………………………………………………
    List of customers / references:……………………………………………………………………
    Agency / distributor of:……………………………………………………………………………
    Agency / distributor in Lesotho:…………………………………………………………………...

    5. DIRECTORS / MEMEBRS
    Name:………………………………………………………………………………………………
    Address:……………………………………………………………………………………………
    Telephone number:…………………………………. Lesotho / foreign:………………..
    Name:………………………………………………………………………………………………..
    Address:……………………………………………………………………………………………
    Telephone number:…………………………………… Lesotho / foreign………………...
    Name:………………………………………………………………………………………………
    Address:……………………………………………………………………………………………..
    Telephone number:…………………………………… Lesotho / foreign:………………..
    Please provide Shareholders Register and a list of Registered Directors

    6. NUMBER OF EMPLOYEES: ……………………………………………………………………


    Number of Lesotho Citizens: …………………………………………………………………..
    7. GENERAL
    Payment conditions:……………………………………………………………………………….
    Do you have branches national wide? Yes / No (If yes, specify);……………………………

    8. DOCUMENTATION TO BE ATTACHED 9. COMPANY STAMP


    Company registration certificate
    Financial statements / reports (if applicable)
    Customer list / references (at least three)
    Product range list
    Tax Clearance Certificate
    ………………………………… ……………………………………….
    SIGNATURE NAME

    …………………………………… ……………………………………………
    DATE DESIGNATION

    Suppliers Registration Form 2

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