Business Services | Supplier Registration

Company’s Legal Name

Company’s Operating Name

Street Address

Country

City

Province/State

Postal Code

Website

Is this your corporate head office?

Yes

No

First Name

Surname

Business Title

Email Address

Telephone Number International number format required e.g. +27 21 761 0000

Cellphone Number International number format required e.g. +27 82 812 1234

Give a short description of the product(s) and/or service(s) you provide.

Please make a selection from the list below

Infrastructure and Related Software

Cloud Operations

DevOps

Software and Business Applications

Machine Learning

Data Products

App and IOT

Professional Services

Non-IT Related

Security

Hardware

Telecoms

Strategic

Are you registered with MasterCard/Visa?

Yes

No

Which of the following apply to your company? Choose all that apply.

EME (turnover <R10 million)

QSE (turnover >R10 million; <50 million)

Generic (turnover >R50 million)

BBBEE Certified

Level

Non-compliant

Level

> 51% black ownership

> 51% black female ownership

< 51% black ownership

< 51% black female ownership

Financial Year End

Latest audited financial statements results

Yes, I have read and agree with Capitec's Supplier Code of Conduct

Do you consent to receive marketing communication from the Capitec Group regarding our products and services?

Yes

No

Email

SMS

Call

If you no longer wish to receive marketing communications from the Capitec Group regarding our products and services, you may opt out at any time by using one of the following methods:

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3. **Customer Service**: 0860 10 23 43

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Supplier registration

Company info

Company contact info

Primary contact info

Supplier Overview

Responsible business practices

Financial info

Supplier code of conduct

Marketing Consent