Please complete all the required (As indicated by the grey block) registration details in order to register
Registration Type	Organisation Member of the Public Municipality
Organisation Details
Organisation Name			*
Income Tax Number			*
Company Registration Number			*
VAT Number			*
Building Details
Street Address			*
Suburb			*
Province		[Select] Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga North West Northern Cape Western Cape	*
Postal Code			*
Office Contact Number			*
Role		[Select] Credit Owner	*
Documentation
[Select] Company Registration Certificate Tax Clearance Certificate Proof of Address Identification document Company letter Document File Name   Company Registration Certificate Delete Tax Clearance Certificate Delete Proof of Address Delete Identification document Delete Company letter Delete
** Download the Company Letter template here and complete before uploading
Personal Details
Title		[Select] Adv Dr Miss Mr Mrs Ms Prof	*
First Name			*
Last Name			*
Identification Number			*
Job Title		[Select] .net Developer [Other] Account Manager Accountant Accounting Manager Administrator Administrator Payroll Assistant Controller Auditor Business Analyst Business Development Manager Carbon Advisor CEO Controller Cost Accountant Design Engineer Director Business Development Electrical Engineer Engineer Engineering Technician Financial Analyst Human Resources Assistant Human Resources Coordinator Human Resources Specialist Java Developer LPN Manufacturing Engineer Marketing Marketing Director Marketing Manager Mechanical Engineer Network Engineer Nurse Occupational Therapist Occupational Therapist Occupation Payroll Clerk Payroll Specialist Pharmacist Physical Therapist Process Engineer Product Manager Product Marketing Manager Project Engineer Project Manager Quality Engineer Recruiter Registered Nurse Senior Accountant Senior Financial Analyst Senior Marketing Manager Senior Product Manager Senior Software Engineer Software Engineer Speech Language Pathologist Speech Pathologist Assistant Systems Administrator Systems Engineer Tax Manager Technical Recruiter Technician The Boss Trainer Training Specialist Web Developer	*
Email			*
Mobile Contact Number			*
Other Contact Number

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