Vendor Form

Vendor Application Form
General
Who is your contact person at Globeleq?*
Globeleq South Africa Management Services (Pty)LtdGlobeleq Development Southern Africa(Pty)LtdAries Solar Power (RF)(Pty) LtdBoshof Solar Power (RF)(Pty) LtdDe Aar Solar Power (RF)(Pty) LtdDroogfontein Solar Power (RF)(Pty) LtdJeffreys Bay Wind Farm (RF)(Pty) LtdKlipheuwel Wind Farm (RF)(Pty) LtdKonkoonsies Solar Power (RF)(Pty) LtdSoutpan Solar Power (RF)(Pty) LtdRed Sands BESS (Pty) Ltd
Vendor Information

Please insert N/A where not applicable
Company Name *
Trading Name*
When was your business established?
YesNo
VAT Number
Company Registration Number/ID Number*
Tax Number
Company Registration Documents *

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Tax Clearance Certificate

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Nature of Business (Use ctrl key for multiple selections) *
Other
Please attach the HSE Plan*

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Please attach the HSE Policy *

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Please attach the Public Liability Insurance*

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Please attach the COIDA Letter of good standing*

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Proof of registration with SAWIC and a Producer Responsibility Organisation*

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Please attach Section 18A approval letter/certificate

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Proof of SAWIC registration and any applicable waste licenses & relevant authorizations. *

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Upload proof of accreditation*

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Owners/Directors/Members/Partners Full Details*

Rows	Full Names	ID Number	Residential Address
1.
2.
3.
4.

Registered Company Address*
YesNo
Trading Address*
Name of Vendor Sales Representative *
Email*
example@example.com
Telephone Number*
Cellphone Number*
Name of Accounts Department Contact Person*
Email for Purchase Orders *
example@example.com
Telephone Number*
Cellphone Number*
Is the entity a COMPANY providing a service/goods?*
Is the entity an INDIVIDUAL providing a service/goods?*
YesNo
The Company Size*
BBBEE Recognition Level*
If you do not have a BBBEE certificate, click the following link Affidavit Template pertaining to your sector.
Please attach a valid BBBEE certificate/Scorecard below
BBBEE Certificate/Sworn Affidavit*

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Ownership % (at the time of first doing business with a Globeleq entity) by persons who are considered youth.*
Ownership % by disabled persons (as per the definitions in South African Income Tax legislation)*
The company is >50% women owned*
Empowering Supplier*
Black Owned Designated Group Supplier: Refer to definition
YesNo
Black Ownership%*
Black Women Ownership%*
Black Disabled%*
Black Youth%*
Under 35 years of age
Black Unemployed %*
Black People Living in Rural Areas %*
Black Military Veterans %*
Banking Information *
Payment Terms: 30 Days from invoice date
Proof to be attached (Bank Confirmation Letter)*

Bank letter should not be older than 3 months
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Standard Conditions of Service
Company Terms & Conditions*

Your terms and conditions will be reviewed before it will be approved and accepted.
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Please note that we will not accept surety whether it be in your terms and conditions or credit application.

If you do not have any terms & conditions please attach a word document stating this as well as your payment terms.
Credit Application
Company Credit Application

Please upload your company credit application to be completed by us if available.
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Declaration
By signing this form I hereby acknowledge:
- that I have read the Globeleq Code of Business Conduct and Ethics ("Code of Conduct") and I understand that the Vendor is expected to comply fully with the Globeleq Code of Business Conduct and Ethics;
- I am not currently aware of any exceptions to the conflict of interest provisions of the Code of Conduct
- I confirm that we operate in accordance with all applicable laws and regulations and that we have all the necessary licences and permits to conduct business.
- I confirm that we are financially stable and capable to fullfil contractual obligations and will disclose any ongoing financial challenges or bankruptcy filings.
- I declare that our products or services meet specified quality standards and commit to providing high-quality goods/services.
- I declare that our business practices align with ethical standards and that we do not engage in illegal or unethical activities and that we have not been involved in any cases of bribery,corruption,or similar activities.
- I will disclose any potential conflicts of interest that could arise in the course of doing business with your company.
- I am aware that no work can be done or charged to Globeleq before receipt of a Purchase order from Globeleq or Globeleq Group of Companies.
I acknowledge
If you find any aspects of our Code of Conduct that you disagree with, we kindly request that you provide a valid reason for your concerns. However, please proceed to acknowledge the remainder of the declaration.
Name of Representative*
Full Name
Signature*

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Date*

MonthDayYear
Date
This form is being signed by a person that is duly authorized to do so,and on signing the form,is declaring that the completed information is correct.
Should be Empty:

Accounting firm / Financial consultant
Air conditioning and air circulation equipment
Bank / Financial institution
Basic construction / Civil works / Road works
Bearings and bushings
Beneficiary of SED projects (including charity and sponsorship)
Business development consultant
Cables and accessories
Car rental
Chemicals and gases
Cleaning, hygiene equipment and supplies
Consulting
Containers and packaging
Corporate Gifting
Courier and postage
Customer / offtaker
Distributors and Resellers
Drying and heating equipment
Electrical and electronic equipment and components
Electrical maintenance and services
Employee benefits
Engineering and design works
Engineering consultant / Architect
Engines and motors
Environmental consultant
EPC / Turnkey contractor/Maintenance
Equipment inspection / certification
Equipment maintenance and repair
Filters
Fire-fighting equipment and tools
Food/Canteen services
Freight forwarder / Customs agent / Custom duties
Fuel / diesel for power plant
Fuel for vehicles
Furniture
General cleaning and upkeep
Generator equipment and parts
Globeleq-owned entity
Government entity
Grass cutting and landscaping
Hand tools, fasteners and fittings
Health & safety consultant
Hospitality provider
Human resources consultant or recruitment agency
Insulation materials
Insurance provider
IT Consultant or provider including software, SaaS, PaaS, XaaS
IT equipment, hardware
Landlord, land lease, rela estate agent
Law firm / Notary / Legal advisory/consultancy
Lenders' or insurance appointed advisors paid by GQ
Lifting equipment and heavy machinery
Lubricants, oils, and greases
Management consulting
Measuring tools, instrumentation and laboratory equipment
Mechanical spares
Media, Print, Subscription, Online platforms
Non-profit Organization / Chamber of Commerce
Office supplies and stationery
Operations consultant
Painting, plumbing, interior services
Permitting / Licensing consultant
Personal protection equipment
Pest control, disinfection, disinsection
Plastic equipment and materials
Prefabricated structures and scaffolding
Project management / Technical consultant
Public relations / Lobbying firm
Pumps and compressors
Registered agent / representative
Regulatory consultant
Relocation, storage and moving services
Security services and consulting
Sewage treatment
Solar panels, components, and spare parts
Surveyors
Tax advisor
Training / Education provider
Transformers, components and parts
Translation services
Transmission costs
Transportation company
Travel agency
Turbine equipment and parts
Utilities provider (incl. water, electricity, etc.)
Valves
Vehicles, their maintenance and tracking
Visa / Work permit services
Waste removal or recycling
Water filtration
Other

Vendor Application Form

General

Vendor Information

Standard Conditions of Service

Credit Application

Declaration