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3. africa

Foundation for Professional Development (Pty) Ltd
Struland Office Park
173 Mary Road
The Willows
Pretoria
South Africa
0184
20 March 2015
To Whom It May Concern
RE: Registration on the Foundation for Professional Development’s Supplier Database
Registration
FPD invites all interested suppliers to register on its supplier database. Currently, FPD is interested in
suppliers of the following services/products (PLEASE TICK BOX):
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Printers;
Cleaning Products and Services;
Insurance;
Construction;
Branding (signs);
Stationery;
Electronically Equipment (hardware, software, computer accessories);
Corporate ware/attire/uniforms;
Water (purified);
Office Furniture;
Storage Facilities (including document warehousing); and
Couriers
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Interested Suppliers are expected to submit the following documents/information along with their
applications:
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Original and valid Tax Clearance Certificate
Valid and certified B-BBEE Certificate
Company/Organisational Profile
Accreditation Certificates/Professional Registration certificates (e.g. ISO Certificate)
A COMPREHENSIVE PRICE LIST valid for 12 months
The closing date and time for submissions: 17 APRIL 2015 at 11h00
Applications are to be completed in full and returned with all relevant documentation. Interested
suppliers submitting applications that are incomplete will be deemed to be non-compliant.
Applications may be submitted to:
Att: Rina Karsten
Struland Office Park
173 Mary Road
The Willows
Pretoria
0184
PO Box 75324
Lynnwood Ridge
Pretoria
0040
Applicants should bear in mind that should they wish to post their applications, additional delays may
ensue.
Should applicants require additional information, they may contact Mrs Rina Karsten at
[email protected] or telephonically at 012 816 9000/9183.
NAME OF BIDDER…………………………………………………………………………......
POSTAL ADDRESS
………………………………………………………
………………………………………………………
………………………………………………………
………………………………………………………
CODE ..................................................................
STREET ADDRESS
………………………………………………………
………………………………………………………
………………………………………………………
………………………………………………………
CODE ..................................................................
TELEPHONE NUMBER
CODE……………NUMBER………………………
CELLPHONE NUMBER …………………………………………………….............
FACSIMILE NUMBER
CODE……………NUMBER………………………
E-MAIL ADDRESS
……………………………………………………………………………………………………
VAT REGISTRATION NUMBER
……………………………………………………………………………………………………
HAS AN ORIGINAL AND VALID TAX CLEARANCE CERTIFICATE BEEN SUBMITTED?
(SBD 2)
YES or NO
HAS A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE BEEN SUBMITTED? (SBD
6.1)
YES or NO
IF YES, WHO WAS THE CERTIFICATE ISSUED BY?
AN ACCOUNTING OFICER AS CONTEMPLATED IN THE CLOSE CORPORATION ACT
(CCA)
A VERIFICATION AGENCY ACCREDITED BY THE SOUTH AFRICAN ACCREDITATION
SYSTEM (SANAS); OR
A REGISTERED AUDITOR
[TICK APPLICABLE BOX]
(A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE MUST BE SUBMITTED IN
ORDER TO QUALIFY FOR PREFERENCE POINTS FOR B-BBEE)
ARE YOU THE ACCREDITED REPRESENTATIVE
IN SOUTH AFRICA FOR THE GOODS / SERVICES / WORKS OFFERED?
YES or NO
[IF YES ENCLOSE PROOF]
___________________________________________________________________________
SIGNATURE OF BIDDER
……………………………………………………………………………………………………
DATE
……………………………………………………………………………………………………
CAPACITY UNDER WHICH THIS BID IS SIGNED
……………………………………………………………………………………………………
ORGANISATIONAL STAFF
COMPLEMENT
TOP
MANAGEMENT
Male
Female
MIDDLE
MANAGEMENT /
PROFESSIONALLY
QUALIFIED
Male
Female
OTHER STAFF
Male
TOTAL
Employee Breakdown:
Female
Black
Coloured
Indian
White
Other
Disabled
TOTAL EMPLOYED
Other Organisational Details:
Principal business activity (ies): _________________________________________________
___________________________________________________________________________
Banking Details:
Bank: ______________________________________________________________________
Account Name: ______________________________________________________________
Account Number: ____________________________________________________________
Branch: ____________________________________________________________________
Branch Number: _____________________________________________________________
Account Type: _______________________________________________________________
Primary Contact Person Details:
Name: _____________________________________________________________________
Email Address: ______________________________________________________________
Telephone Number: __________________________________________________________
Fax Number: ________________________________________________________________
___________________________________________________________________________