The Seda Funding Application form stands as a critical document for suppliers aiming to register as approved providers of goods and services within the procurement database of the Small Enterprise Development Agency (Seda), which aligns with the DTI's guidelines. This comprehensive form requires meticulous completion for consideration; any omissions lead to outright rejection. Adhering to the Accounting Officers Procurement Procedures (AOPP) under the Public Finance Management Act of 1999, the form is designed to facilitate the efficient procurement of goods and services up to a value threshold specified within Seda's policy. It underscores a commitment to equal opportunity by inviting prospective suppliers to contribute to Seda's database, thereby ensuring transparency and compliance. Applicants must attach several documents, including a valid original Tax Clearance Certificate, company profile, and, where applicable, certificates of accreditation. Additionally, the form captures detailed company information, types of business entity, participation capacity, and small, medium, and micro enterprise (SMME) status, along with specifying the total number of employees. Importantly, it includes sections for listing partners, proprietors, and shareholders, while also seeking disclosure of any potential conflicts of interest or ownership interests in other firms. Bank details for electronic funds transfers are required, emphasizing the need for accurate and verifiable information. This form not only represents a gateway for suppliers to engage with Seda but also reflects rigorous standards for maintaining integrity and fairness in the procurement process.
| Question | Answer |
|---|---|
| Form Name | Seda Funding Application Form |
| Form Length | 7 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min 45 sec |
| Other names | seda funding application forms 2021 pdf download, seda application form 2021, seda funding application forms 2021 pdf, seda funding application forms 2020 pdf |
DATABASE APPLICATION FORM
Reference Number: 2014/2015
NB: Should your FORM not be completed in full your APPLICATION will be rejected. Information in this questionnaire received will be treated with confidentiality.
COMPANY NAME: |
_________________________________________________________________________ |
COMPLETED BY: |
_____________________________________ |
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Full name and Surname |
DESIGNATION: |
_____________________________________ |
DATE: |
_____________________________________ |
TO ALL SUPPLIERS SEEKING REGISTRATION AS AN APPROVED SUPPLIER OF GOODS AND SERVICES ON THE PROCUREMENT DATABASE
All suppliers are herewith invited to register as an approved supplier on the database of the Small Enterprise Development Agency (Seda) as a member of the DTI.
In order to comply with the procedures set out in the Accounting Officers Procurement Procedures (AOPP), as referred to in the Public Finance Management Act, 1999 (Act 1 of 1999)(PFMA), seda’s Procurement Department developed a supplier database to be used by the Procurement Department for the procurement of goods and services up to the value of R500 000.00 inclusive of VAT as stipulated in our policy.
The purpose of this database is to give all prospective suppliers an equal opportunity to submit quotations to Seda.
It is envisaged however, that this database will contribute to efficient administration and compliance with the PFMA.
Attached please find an official application form to assist in registration on our database according to legislation. It is imperative that suppliers read the application document carefully, complete it in full and sign it. Failure to do so will result in the application being rejected.
When the form is duly completed please send to the following Postal address or hand deliver at the Physical address.
Office |
Provincial |
Seda |
Seda |
Seda |
Seda |
Seda |
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Office |
Mangaung |
Xhariep |
Lejweleputswa |
Thabo |
Fezile |
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Branch |
Branch |
Branch |
Mofutsanyana |
Dabi |
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Branch |
Branch |
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Postal |
P O Box 4165 |
P O Box 4164 |
P O Box 79 |
P O Box 2381 |
P O Box 1868 |
P O Box 1808 |
Address |
Bloemfontein |
Bloemfontein |
Trompsburg |
Welkom |
Bethlehem |
Kroonstad |
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9300 |
9300 |
9913 |
9460 |
9700 |
9500 |
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Physical |
Telkom Building, |
Shop 133 |
Shop 2 & 5, |
One Reinet |
Mampoi Road, |
37 Buitekant |
Address |
Block B, First |
Bloem Plaza, |
70 |
Street, Reinet |
Phuthaditjhaba |
Street , |
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Floor, Nelson |
Charles Street, |
Voortrekker |
Building, Ground |
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Kroonstad |
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Mandela Drive, |
Bloemfontein |
Street , |
Floor, Welkom |
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Bloemfontein |
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Trompsburg |
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Contact |
(051) 411 3820 |
(051) 447 |
(051) 713 |
(057) 352 1870/ |
(058) 713 1689/ |
(056) 213 |
Number |
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3281/2828 |
1845 |
1683 |
1809/1810 |
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0363/ 0405 |
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All application must be sent to the relevant address.
Attached the following:
Valid original Tax Clearance Certificate
(Copy of Registration Certificate (CC or Pty Ltd), Articles of Association and Memorandum of Agreement.
Company PROFILE including experience.
Copies of SABS or any other rating or accreditation, certificates etc. where applicable.
BBBEE Certificate
Page 2 of 7
SUPPLIER DETAILS
Registered Name of the company: …………………………………………………………………………………………...
Trading name of the company: ……………………………………………………………………………………………….
Company/ Close Corporation |
VAT Registration Number: |
Income Tax Reference Number: |
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Registration Number: |
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…………. ……………………… |
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…………………………………………………… |
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Telephone Number: ……………………………. |
Fax Number: ………………………………………… |
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Web Address: ……………………………………. |
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Name of Contact Person: .………………………. |
Contact numbers Cell: ………………………………………… |
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Business Physical Address: |
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Postal Address: |
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TYPE OF FIRM (Please the relevant box or boxes)
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Public Company (Ltd) |
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Trust |
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Partnership |
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Private Company (Pty) Ltd |
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Section 21 Company |
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Sole Proprietor |
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Closed Corporation (CC) |
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Government/ Parastatals |
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Consortium |
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Other, (Specify) |
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Joint Venture |
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PARTICIPATION CAPACITY (Please the relevant box or boxes) |
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Prime Contractor |
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Manufacturer |
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Importer |
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Repairer |
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Exporter |
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Supplier |
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ISO Listed |
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Distributor |
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Services including Professional |
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Sales |
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SMALL, MEDIUM, MICRO ENTERPRISE (SMME) STATUS (Please the relevant box) |
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Very Small |
□ Medium |
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Large |
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□Small
TOTAL NUMBER OF EMPLOYEES (Please the relevant box and state the number)
□ Full Time |
Number: …………. |
□ Part Time |
Number: …………. |
LIST ALL PARTNERS, PROPRIETORS & SHAREHOLDERS AS INDICATED BELOW (COMPULSORY)
NAME AND SURNAME
IDENTITY NUMBER
CITIZENSHIP
DATE OF OWNERSHIP
% OF |
SPECIFY SATUS |
% VOTING |
OWNERSHIP |
IF HDI, WOMEN, |
(In decision |
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OR DISABLED |
Making) |
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Page 3 of 7
LIST AND IDENTIFY ANY ONWNER OR MANAGEMENT OFFICE BEARER WHO HAS OWNERSHIP INTEREST IN ANOTHER FIRM
NAME AND SURNAME
IDENTITY NUMBER
CITIZENSHIP
DATE OF OWNERSHIP
%OF OWNERSHIP
SPECIFY STATUS IF HDI, WOMEN OR DISABLED
%VOTING (In decision Making)
REFERENCES OF PREVIOUS CLIENTS
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Address |
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Contact Person |
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Telephone: |
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Value of contract |
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Date: |
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Description of Work |
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Company/ Institution |
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Contact Person |
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Value of contract |
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Date: |
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Description of Work |
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Company/ Institution |
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Contact Person |
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Value of contract |
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Date: |
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Description of Work |
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GENERAL (Complete where applicable)
1. Did the firm exist under a previous name?YES/ NO
If YES, what was its previous name?
2. Does your company/ any of its employees have a vested interest in seda, If so, state which Department within SEDA the said employee/s have such vested interest.
3. Indicate as to whether any of the Partners, Proprietors & Shareholders is in the service of SEDA and/or the DTI, or has been in the service of SEDA and/or the DTI in the previous twelve months;
Page 4 of 7
BANKING DETAILS
I/we hereby request and authorize you to pay any amounts which accrue to me/us to the credit of my/our bank account with the mentioned bank. I/we understand that the credit transfer hereby authorized will be processed by computer through a system known as Electronic Funds Transfer and I/we also understand that no additional advice of payment will be provided by my/our bank, but details of each payment will be printed on my/our bank statement or any accompanying voucher. (This does not apply where it is not customary for banks to issue bank statements.) I/we understand that a payment will be applied by Seda in the normal way, and that it will indicate the date on which funds will be available in my/our account.
Bank Account Name: |
____________________________________________ |
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Name of Bank: |
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Branch Code & Name: |
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Account Number: |
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Type of Account: |
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Cheque |
Savings |
Transmission |
(Certified as correct by: Bank Details) |
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DATE STAMP OF BANK |
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Name and Surname: |
_____________________________ |
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Signature: |
_____________________________ |
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Designation: |
_____________________________ |
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Tel number: |
(_______) ____________________ |
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Fax number: |
(_______) ____________________ |
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Page 5 of 7
I/We the undersigned acknowledge(s) that:
The information furnished is true and correct
The Equity Ownership claimed is in accordance with the General Conditions
Any conflict of interest should be declared in writing
An official Seda purchase order will be accepted
Payment of any goods delivered or services rendered will be effected within 30 days from receipt of invoice.
NAME AND SURNAME: |
……………..…………………………………………….. |
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SIGNATURE: |
…………………………………………………………… |
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(DULY AUTHORISED TO SIGN) |
ON BEHALF OF: |
.…………………………………………………………… |
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(Name of Organization) |
ADDRESS: |
……………………………………………………………… |
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……………………………………………………………… |
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……………………………………………………………… |
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TELEPHONE NUMBER: |
....…………………………………………………………… |
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DATE: |
……………………………………………………………… |
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COMMISSIONER OF OATH: |
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SIGNATURE: |
………………….……………….…………………………. |
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DATE: |
…………………………………..…………………………. |
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STAMP: |
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(Failure of not having a stamp and |
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signed by a Commissioner of Oath |
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will invalidate your application) |
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Page 6 of 7
(Only apply for the goods/services mentioned below)
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TICK THE |
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Descriptions: Good/Services |
RELEVANT BOX |
1 |
Aquaculture Consultants |
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2 |
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3 |
Bakeries: Set up and Training Providers |
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4 |
Business Legislation |
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5 |
Catering |
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6 |
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7 |
Craft: Product Development and Trends |
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8 |
Cut, Make and Trim Providers |
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Export Training Providers |
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10 |
Feasibility Studies: Export/ Trade Points |
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11 |
Food Safety Management System: ISO 22000 |
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12 |
Franchising |
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13 |
Green Economy |
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14 |
ISO/IEC 17025:2005 |
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15 |
Lean Manufacturing |
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16 |
Mentorship |
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17 |
Mineral Beneficiation Consultants |
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18 |
Mobilization of Private Sector on SME |
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19 |
Newspaper deliveries |
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20 |
Plastic Fabrication |
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21 |
Policy Analysis and Development |
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22 |
Promotions of Entrepreneurship in Schools |
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23 |
Quality Management Systems (QMS) |
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24 |
Research Consultants |
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25 |
Second hand scrap computers and printer buyers |
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26 |
Supplier Development Programme |
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27 |
Traditional Medicine Consultants |
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28 |
Waste Management Consultants |
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Sector cluster and network in organizing, facilitation consulting: Textiles, Agro |
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Processing, Manufacturing (footwear, plastics, chemicals, leather, timber, wood |
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products, metal fabrication) |
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Strategic Planning, Organizing, Facilitation and Project Management in the following |
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sectors: Textiles, |
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timber, wood products, metal fabrication) |
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31 |
Other - Specify: |
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Page 7 of 7