Application
Province:	Non South-African Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga North West Northern Cape Western Cape
Name and Surname:
E-Mail Address:
Contact Number:
Location:
Do you already have an established company from where you supply goods/services?	Yes No
If Yes, what is the name of your business?
What is the main Product/Service of your business?
Do you operate from an Office Building/Factory/Residence/Yard/Warehouse?	[Select] Office Factory Residence Yard Warehouse Unknown
Office Building/Factory/Residence/Yard/Warehouse Address:
Are you employing workers? If yes, how many?
Are you supplying any goods/services to ArcelorMittal South Africa?	Yes No
If Yes, what is your Vendor Number?
Other Comments:
Attach company profile:
BBBEE verification certificate:
Company Registration:

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