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SECTION HEADING GOES HERE

NAME OF FIRM / BIDDER: ……………………………………………………………

POSTAL ADDRESS: …………………………………………………………………………….

STREET ADDRESS: ………………………………..……………………………………………

………………………………………………………………………………………………………

TELEPHONE NUMBER: CODE: ……..… NUMBER: ………………………………………..

CELL PHONE NUMBER: ………………………………………………………………………

FACSIMILE NUMBER: CODE: ………… NUMBER: …………………………………………

VAT REGISTRATION NUMBER: ….……………………………………………………………

E MAIL: …………………………………………………………………………………………….

THE BIDDER ELECTS DOMICILLIUM CITANDI ET EXECUTANDI IN THE REPUBLIC AT:

………………………………………………………………………………………………………

………………………………………………………………………………………………………

HAS A VALID TAX CLEARANCE CERTIFICATE BEEN SUBMITTED?YES / NO

ARE YOU THE ACCREDITED REPRESENTATIVE IN

SOUTH AFRICA FOR THE GOODS/SERVICES OFFERED?YES / NO

(IF YES, ENCLOSE PROOF)

CAPACITY UNDER WHICH THIS BID IS SIGNED:…………..………………………………

Procurement of Catering Services forTaking Parliament to the People: T9/2/2010

INITIAL: _____________

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