Supplier Registration
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Venetia Mine Registration Request
1
Security Verification
Complete the Google reCAPTCHA before entering supplier information.
1
Disclaimer
Completing a Prospective Supplier registration does not in any way guarantee or create any expectation that your company may be fully on-boarded as a registered Supplier, nor does this constitute an undertaking or commitment that Venetia Mine will provide business opportunities in the future. Your company profile may remain on file in the Prospective Supplier database to enable Mototolo Procurement users to search, discover and contact your company for future engagement.
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2
Access Details
2.1
Email Address
*
2.2
Mobile Number
*
2.3
Preferred Channel
Email
Mobile
Both
2.4
Password
*
Use at least 12 characters with uppercase, lowercase, a number and a symbol.
2.5
Confirm Password
*
2.6
Existing Supplier?
No
Yes
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3
Company Details
3.1
Registered Name of Entity / Organisation
*
Please use the registered name as specified on your CIPC registration certificate.
3.2
Trading Name of Entity / Organisation
3.3
Registration Number
3.4
Country of Operation
South Africa
Botswana
Zimbabwe
Other
3.5
Entity Type
Private Company
Public Company
Close Corporation
Cooperative
Sole Proprietor
Other
3.6
Province
3.7
Founding Year
3.8
Employee Band
1-10
11-50
51-200
201-500
500+
3.9
Enterprise Size
EME
QSE
Large Enterprise
Not specified
3.10
Certificate of Incorporation / Registration
Required for submission
Upload File
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4
Physical Registered Business Address
4.1
Street Address Number
?
4.2
Street Address Name
4.3
Suburb
4.4
City
4.5
Postal / ZIP Code
4.6
Please select the Mototolo Mine operation you would like to register for
Mototolo Mine
4.7
Proof of Business Address
Required for submission
Upload File
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5
Contact Details
5.1
Contact Name
*
5.2
Contact Person First Name
5.3
Contact Person Last Name
5.4
Contact Person Number
*
5.5
Contact Person Email Address
*
5.6
Contact Person Designation / Position
5.7
ID / Passport
5.8
Certified ID Copy
Required for submission
Upload File
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6
Business Details
6.1
Describe the Core Business of the Company (Limited to 250 characters)
6.2
Main Commodity / Service Category
6.3
Commodities Supplied (select up to 5)
Required
Automotive and Fleet
Drilling and Mining Equipment
Fuel and Lubricants
Engineering and Maintenance
Electrical and Instrumentation
Information Technology
Construction and Civil Works
PPE and Safety
Professional Services
Logistics and Transport
Select the supply categories that best describe your products or services.
6.4
Mototolo Departmental Categories (select up to 5)
Required
Strategic Sourcing
Procurement
Supply Chain
Mining Operations
HAZMAT/HAZCHEM
Engineering Operations
Maintenance
Electrical and Instrumentation
Information Technology
Finance
Logistics and Transport
Projects and Construction
SHEQ
Choose the Mototolo departments whose sourcing opportunities fit your capabilities. RFQs may be assigned using these selections.
6.5
Maximum Supply Value
6.6
Project Capacity
6.7
Financially Secure?
Yes
No
Pending review
6.8
Preferred Payment Terms
Net 30
Net 60
Net 90
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7
Tax, Banking And Compliance
7.1
Income Tax Reference
7.2
VAT Number
7.3
Tax Status
Compliant
Pending
Not applicable
7.4
Tax Clearance Certificate
Required for submission
Upload File
7.5
VAT Registration Certificate
Upload File
7.6
Bank Name
7.7
Branch Code
7.8
Account Number
7.9
Account Holder
7.10
Account Type
Current
Savings
Transmission
7.11
Bank Confirmation Letter
Required for submission
Upload File
7.12
Proof of Funding / Funds
Upload File
7.13
Valid B-BBEE Certificate / Sworn Affidavit
Required for submission
Upload File
7.14
Sector License If Applicable
Upload File
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8
Declarations
8.1
Currently Employed By Venetia Mine?
No
Yes
8.2
Outside Work Authority
No
Yes
Not applicable
8.3
Conflict Details
8.4
Supplier Declarations
I consent to due diligence, supplier verification, compliance checks and procurement audit processing.
I accept the supplier portal terms and confirm that the submitted information is accurate.
I consent to processing of supplier, contact, banking and compliance information for procurement review.
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Supplier Registration
Supplier Registration