Vodacom Business Application

1

2

Company Registered Name* This field is required.

3

Company Registration No* This field is required.

4

Vat Reg No

5

Number of years trading* This field is required.

6

Business Landline number* This field is required.

7

Fax number

8

Unit No

9

Building Name

10

Street No* This field is required.

11

Street Name* This field is required.

12

Suburb* This field is required.

13

City and Province* This field is required.

14

Postcode* This field is required.

15

Billing Address

16

Postcode

17

Name and Surname* This field is required.

18

Designation* This field is required.

19

Identity No* This field is required.

20

Cell Number* This field is required.

21

Email address* This field is required.

22

Physical Address* This field is required.

23

Postcode* This field is required.

24

Years at Address* This field is required.

25

Months at address* This field is required.

26

Period as Principal * This field is required.

27

Site contact name* This field is required.

28

Contact No* This field is required.

29

Complex/Building Unit No

30

Building Name

31

Street No* This field is required.

32

Street Name* This field is required.

33

City* This field is required.

34

Suburb* This field is required.

35

Postal code* This field is required.

36

Propperty

Owned

Leased

37

Existing Vodacom Account number

38

Nature of Business* This field is required.

39

Holding Company Name* This field is required.

40

Bank Name* This field is required.

41

Account number* This field is required.

42

Account holders name* This field is required.

43

Branch name* This field is required.

44

Branch code* This field is required.

45

Period Account Open years* This field is required.

46

Name of person responsible for the account* This field is required.

47

Contact Number* This field is required.

48

Fax Number

49

email address* This field is required.

example@example.com

50

I declare that the information given above is true and correct and that I hereby consent to Vodacom Service Provider Company (Pty)Ltd to carry out credit vetting.

51

Signed on the (day of the month)* This field is required.

52

Month* This field is required.

53

At (Place)* This field is required.

54

Authorized Signatory Name* This field is required.

55

Designation

56

Signature

Clear

57

Supporting documents required for a new account application:

ID copy (NOT certified)
Business Registration Document
Latest 3 Months Bank Statements

If you prefer to email the documents please email to applications@talk-online.co.za

Please use New Application and registration number in subject.

58

Upload ID copy

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

59

Upload Registration Document

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

60

Upload latest 3 months Bank Statements

Drag and drop files here

Select files to upload

Max. file size: 10.6MB