Supplier registration of interest

Please select the most appropriate option for your business

Sole trader

Partnership

Limited company (Pty Ltd)

Other

Details about your Organisation

Legal Entity Name

Trading as name

ABN

Your address details

Street address

Suburb

Postcode

Please complete you postal address if it is different to street address:

Postal address

Postal suburb

Postcode

Your contact details

Main contact name

Main contact email

Main contact telephone

Main contact fax

What services are you able to provide?

Please select all that apply

If you provide services that are not listed above, please specify them here:

Are you available to start providing services immediately?

Yes

Which region best represents the area/s you service?

Please list the city/area/suburbs/towns in which you are prepared to work

Documentation

Please select the documentation your business has before continuing

I acknowledge that my business holds a valid Public Liability insurance

I acknowledge that my business holds valid Personal Liability insurance

I acknowledge that my business holds valid Professional Indemnity insurance

I acknowledge that all drivers in my business have a valid and current Motor Vehicle Drivers License

I acknowledge that all staff have a current national criminal records check

I acknowledge that my business has Workplace Health and Safety policy and procedure in place for staff

I acknowledge that my business has incident reporting procedure in place for staff

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Supplier registration of interest

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What services are you able to provide?

Which region best represents the area/s you service?

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Supplier registration of interest

Details about your Organisation

Your address details

Your contact details

What services are you able to provide?

Which region best represents the area/s you service?

Documentation

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