Company Name*

Company/Enterprise Number registered on CIPC*

Email*

First Name*

Last Name*

Company Details

Company Address

Postal Code

Company General Phone (+27)*

Company General Mail*

Company Website

Key Contact First Name and Last Name

Key Contact Phone Number (+27)

Key Contact General Mail

Additional Company Information

Woman Owned

Facility Certification

Incorporation Date

BEE

Company Size (Employees)

Distribution Channel(s)

Company Overview

Export Experience

Year Started Exporting

Countries Currently Exporting To

Countries Hoping To Export To

Registered under the following trade agreements

Company Documents

SARS Tax Compliance Status Pin (Valid within 12 months from issue)

State reason if unable to provide SARS Tax Compliance Status Pin

BBBEE Certificate (Valid within 12 months of issue)

State reason if unable to provide BBBEE Certificate

SARS Export Certificate (If a Services Based Company – No Need to Submit)

State reason if unable to provide Export certificate

ID/Passport (Certified Copy, no older than 6 months)

State reason if unable to provide ID / Passport

Proof of Address for Western Cape Business Facility (Valid within 12 months)

State reason if unable to provide Proof of Address for Western Cape Business Facility

Password*

Confirm Password*