Contractor Registration

1. Business Details 2. Executive/ Director/ Member Details 3. Document Upload 4. Contact Details 5. Declaration

1. Business Details

CIPC Registration Details

Enterprise Name *(CIPC registered name)

Enterprise Type *

CIPC Enterprise Number *

SARS Registration Details

Trading Name *(as registered with SARS)

⎘ Copy from CIPC Enterprise Name

Income Tax Number *

PAYE Number *

VAT Number (if applicable)

Department of Labour Registration Details

UIF Registration Number *
(as registered with DofL)

UIF Payment Ref. Number

⎘ Copy from PAYE Number

COID Registration Number *

BBBEE Registration Details

Entity Size *

Business Sector *

Scorecard Type *

BEE Level *

Black Ownership % *

Black Women Ownership % *

Black Designated Group % *

Physical Address Details

Street Number *

Street Name *

Suburb

City *

Postal Code *

Province *

Postal Address Details

⎘ Copy from Physical Address

Postal Address Type *

Number *

Street Name (if required)

Suburb

City *

Postal Code *

Province *

2A Executive / Director / Member information

Permission is granted for
standard background checks

Title *

Initials

First Name *

Surname *

ID Number *

Additional Executives, Directors or Members

2B Second Executive / Director / Member information

Permission is granted for
standard background checks

Title *

Initials

First Name *

Surname *

ID Number *

2C Third Executive / Director / Member information

Permission is granted for
standard background checks

Title *

Initials

First Name *

Surname *

ID Number *

2D Fourth Executive / Director / Member information

Permission is granted for
standard background checks

Title

Initials

First Name

Surname

ID Number

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3. Document Upload

Files can be Word Documents (.doc and .docx), PDFs and images.

SELECT DOCUMENT TYPE

Upload Document

No file uploaded

Choose File Uploading...

Click Refresh after all uploads are done to see your records

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4. Contact Details

Office Contact Details

Office Contact First Name

Office Contact Surname

Telephone Number

Additional Tel Number

Fax Number

Mobile Number

Email Address

Senior Executive Contact Details

Executive First Name *

Executive Surname *

Mobile Number *

Email Address *

Social Media

Website / Facebook page

Business Category

Select Category *

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5. Declaration

On behalf of the Executives/Directors/Members of the Company, I confirm that the information provided is true, accurate and complete.
I am able to provide the original certificates submitted with this application.

I have read and accept the above declaration.

First Name *

Surname *

Company Position *

To create a 4Compliance Account:

Repeat Password *

Date *

Note that you can edit & save your form many times, but before submitting for payment and compliance verification, all fields marked * must be completed.

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When complete, you may