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Online Application

 

The Siyakhula initiative was established to foster sustainable B-BBEE in South Africa by providing both financial and non-financial support to small and medium suppliers, contractors and enterprises within the Barloworld value chain.

If you are a part of the Barloworld value chain and require either financial or non-financial assistance, then please complete the application below for consideration.

Personal Details

 

First Name *

Surname * (required)

Office Telephone * (required)

Cell Phone *

Email Address *

Location *
Select a Province

Physical Address

Postal Address

Company Details

 

Company Name *

Company Registration Documents *
(Only PDF,Excel, Word, PowerPoint or image files allowed)

Contact Person *

Are you or any other person associate with you company employed by Barloworld *
 Yes  No

Is your company a supplier to a Barloworld company? *
 Yes  No

Does your company sell products that are supplied by Barloworld company? *
 Yes  No

Do you have a franchise relationship with Barloworld group company?
  Yes   No

Supporting Documents

 

Do you have a BEE certificate? *
  Yes   No

Reason why it is not available

Do you have a tax clearance certificate? *
  Yes   No

Reason why it is not available

Do you have a company profile?
  Yes   No

Reason why it is not available

Do you have a business plan? *
  Yes   No

Reason why it is not available

Do you have your latest audited financial statements or latest set of management accounts? *   Yes   No

Reason why it is not available

Additional comments or notes

Legal

 

Terms and Conditions
I agree to the terms and conditions *  

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