ONLINE DEALER APPLICATIONIS THE APPLICANT? *SOLE OWNERPARTNERSHIPCOMPANY (PTY) LTDCLOSE CORPORATIONOTHERTRADING NAME *REGISTERED NAME *REGISTRATION NUMBER *DATE OF REGISTRATION *REGISTERED NAME OF HOLDING COMPANIES *NATURE OF BUSINESS? *HOW LONG HAS THE PROPRIETOR(S) OWNED THE BUSINESS? *VAT NUMBER *POSTAL ADDRESS *PHYSICAL ADDRESS *TEL NUMBER *FAX NUMBER *CELL NUMBER *CONTACT PERSON *CELL NUMBER *CONTACT PERSON *ACCOUNTS PERSON *EMAIL ADDRESS *FINANCIAL DIRECTOR *EMAIL ADDRESS *BUYER NAME *EMAIL ADDRESS *BUYER NAME *EMAIL ADDRESS *BUYER NAME *EMAIL ADDRESS *BUYER NAME *EMAIL ADDRESS *AUDITORS NAME AND ADDRESS *PLEASE STATE IF THE PROPERTY IS OWNED OR LEASED BY YOU *OWNEDLEASEDIF LEASED, PLEASE PROVIDE DETAILS OF LANDLORD *ADDRESS *TEL NUMBER *BANK DETAILS (IF ACCOUNT HAS BEEN OPERATIONAL FOR LESS THAN 12 MONTHS, PROVIDE DETAILS OF PREVIOUS BANKERS)BANK *BRANCH *ACCOUNT NUMBER *TYPE OF ACCOUNT *DETAILS OF DIRECTORS/OWNERS/PARTNERSNAME *ID NUMBER *ADDRESS *TEL NUMBER *CELL NUMBER *NAME ID NUMBER *ADDRESS *TEL NUMBER *CELL NUMBER *NAME *ID NUMBER *ADDRESS *TEL NUMBER *CELL NUMBER *TRADE REFERENCES (FOUR REFERENCES MUST BE GIVEN)NAME *ADDRESS *CONTACT PERSON *TEL NUMBER *TERMS *LIMIT *NAME *ADDRESS *CONTACT PERSON *TEL NUMBER *TERMS *LIMIT *NAME *ADDRESS *CONTACT PERSON *TEL NUMBER *TERMS *LIMIT *NAME *ADDRESS *CONTACT PERSON *TEL NUMBER *TERMS *LIMIT *REQUIREMENTSESTIMATED MONTHLY REQUIREMENTS *DECLARATIONSPAYMENTS BY CHEQUE: THE CUSTOMER HEREBY DECLARES THAT NO CHEQUES WILL BE ISSUES IN PAYMENT UNLESS THERE ARE FUNDS AVAILABLE AND THAT UNDER NO CIRCUMSTANCES WILL A CHEQUE BE STOPPED. AN ADDITIONAL FEE OF R200 WILL BE CHARGED FOR RD CHEQUES. *I AGREEI WARRANT THAT THE INFORMATION FURNISHED ABOVE IS TRUE AND CORRECT IN EVERY RESPECT I AGREEFULL NAMES *DATE *DOCUMENT UPLOAD FACILITYCOPY OF CKQ OR REGISTRATION DOCUMENT *COPY OF VAT CERTIFICATE COPY OF CANCELLED CHEQUE OF REGISTERED COMPANY COPY OF ALL MEMBERS/DIRECTORS ID *COPY OF ALL MEMBERS/DIRECTORS ID COPY OF ALL MEMBERS/DIRECTORS ID VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
