Contractor Application Form Fill in the Contractor/Supplier application form Below Step 1 of 5 20% COMPANY INFORMATION COMPANY / NAME COMPANY REGISTRATION No. ALTERNATE NAME COMPANY VAT No.POINT OF CONTACT NAME DESIGNATION COMPANY STREET ADDRESS POSTAL ADDRESS Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PHONEMOBILEEMAIL Website ORGANIZATION TYPE Close Corporation Proprietary Limited Individual / Sole Proprietor Partnership / Limited Partnership Joint Venture Non Profit TOTAL STAFF CAPACITY 1 Staff Only 2 - 5 5 - 10 10 - 15 15 - upwards Geographical Reach / Areas BANKING INFORMATION Bank Account NumberAccount Type SCOPE OF WORK / CORE SERVICES OFFEREDWARRANTY: Description & Duration CERTIFICATE OF COMPLIANCE (CoC) You can provide a CoC for a solar installation? Yes No AFTER INSTALLATION SUPPORT Do you provide support after the installation? Yes No Period (months) Comments SYSTEM MONITORING & SUPPORT Do you provide system monitoring and support after the installation? Yes No Period (Months) Comments INSURANCE INFORMATION: Public Liability & Goods In TransitInsurace Type Public Liability Goods in Transit Insurance Company Policy Number Policy Renewal Date MM slash DD slash YYYY Cover Amount WORKING AT HEIGHTS QUALIFICATIONName ID NumberREGISTRATION NUMBER Expiry Date MM slash DD slash YYYY Add More Working at Heights Qualifications No Thanks One Two Three Name 1 ID Number 1Registration Number 1 Expiry Date 1 MM slash DD slash YYYY Name 2 Additional ID Number 2Registration Number 2 Expiry Date 2 MM slash DD slash YYYY Name 3 ID Number 3Registration Number 3 Expiry Date 3 MM slash DD slash YYYY DEPARTMENT OF LABOUR QUALIFICATIONSName ID NumberCertificate Registration Number Registration Category (IE, TSP, ETSP, etc) Category Registration Number Expiry Date MM slash DD slash YYYY Add More Department of Labour Qualifications No Thanks One Two Three Name 1 ID Number 1Certificate Registration Number 1 Registration Category (IE, TSP, ETSP, etc) 1 Category Registration Number 1 Expiry Date 1 MM slash DD slash YYYY Name 2 ID Number 2Certificate Registration Number 2 Registration Category (IE, TSP, ETSP, etc) 2 Category Registration Number 2 Expiry Date 2 MM slash DD slash YYYY Name 3 Additional ID Number 3Certificate Registration Number 3 Registration Category (IE, TSP, ETSP, etc) 3 Category Registration Number 3 Expiry Date 3 MM slash DD slash YYYY WIREMENS QUALIFICATIONSName ID NumberCertificate Registration NumberRegistration NumberExpiry Date MM slash DD slash YYYY WORKMANS COMPENSATION - Letter of Good StandingCertificate Registration NumberNature of Business Expiry Date MM slash DD slash YYYY AFFILIATIONS and ACCREDITATIONSAssociation for Renewable Energy Practitioners (AREP) Yes No Membership / Registration Number Expiry Date MM slash DD slash YYYY Department of Labour (DoL) Yes No Membership / Registration Number Expiry Date MM slash DD slash YYYY Electrical Conformance Board of South Africa (ECB) Yes No Membership / Registration Number Expiry Date MM slash DD slash YYYY Electrical Contractors Association of South Africa (ECA) Yes No Membership / Registration Number Expiry Date MM slash DD slash YYYY PV Greencard (SAPVIA) Yes No Membership / Registration Number Expiry Date MM slash DD slash YYYY South African Alternative Energy Association (SAAEA) Yes No Membership / Registration Number Expiry Date MM slash DD slash YYYY South African National Energy Development Institute (SANEDI) Yes No Membership / Registration Number Expiry Date MM slash DD slash YYYY Sustainable Energy Society of Southern Africa (SESSA) Yes No Membership / Registration Number Expiry Date MM slash DD slash YYYY Other Yes No Accreditation Membership / Registration NumberExpiry Date MM slash DD slash YYYY REQUIRED DOCUMENTSCIPC Registration Certificate Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY Proof of Banking Details (not older than 3 months) Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY BBBEE Certificate Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY Insurance Policy - Public Liability Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY Insurance Policy - Goods In Transit Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY Proof of VAT Registration Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY Tax Clearance Certificate Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY Working At Heights Certificates Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY Workman Compensation (Letter of Good Standing) Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY DoL Qualification Certifcates Yes No FileMax. file size: 50 MB.Expiry Date MM slash DD slash YYYY Name First Last Date MM slash DD slash YYYY Δ Alternative Option Download The Contractor/Supplier application form Below Please download the contractor/supplier form below and fill in the details once complete please upload the pdf the form field below Download Form Upload Your Completed Form "*" indicates required fields Name* First Last Email* Application Upload*Max. file size: 50 MB.Please upload the contractor/supplier application form here (The form must be completed)Additional Questions Δ Herholdt's is the largest solar supplier in the country. They have more than 6000 accounts and we have been approved as a trusted installer.