Company Name

Company Registration Number

Income Tax Number

VAT registration number

BBBEE Level

Black Ownership Percentage

Black Woman Ownership Percentage

Contact Person
Telephone Number
Cellphone Number
Email Address 1
Email Address 2
Postal Code for physical address
Postal Address line 1
Postal Address line 2
Description of Main Activities of Business
What additional range of products/services does your business offer?
Do you provide technical backup on your products /services?
Previous Projects (Last 3 Substantial Projects)
What type of support would you require from the OptiPower/ Cox Energy JV to promote your business?
CIPC company registration Document
Company Profile
Certified ID Documents of company members/partners/directors
Valid Tax Compliance Status Pin Letter
VAT registration certifcate (for VAT vendors only)
Valid BBBEE affidavit/certificate (for VAT vendors only)
Proof of banking details
CIDB certificate
PSIRA for security Services

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