I/We the undersigned, do hereby warrant my/our authority to act on behalf of the above-named company. I/We agree that all future transactions with Madibana SA shall be governed by and be subject to the Standard Trading Terms and Conditions which appear below this application form and on all Madibana SAWaybills. I/We accept that the Standard Trading Terms and Conditions form an integral part of this application as included in thisapplication
I, the undersigned declares that the information provided in this application form is to the best of my knowledge true, correct, and complete. I also understand that any wilful misrepresentation of the information in this application form will disqualify the application.
I hereby grant Madibana SA consent to perform an entity search and checks with any other party (e.g. credit bureau and/or a government agency) relating to this application.
I also declare that:
Madibana SA warrants that it will treat the information as confidential and take all necessary steps to protect the information as required by the Protection of Personal Information Act of 2013 (POPI).
We will only disclose the information if
The law requires us to do so.
NB THIS APPLICATION FORM IS ACCOMPANIED BY THE FOLLOWING REQUIRED
1. CIPC Registration documents.
2. Director/Representative’s ID Copy.
3. Proof of Business address.
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