Register Supplier

1

Create Profile

Your information is Safe
All information provided will be stored safely and securely as per the Privacy Policy and will be used purely for the application process in order to determine an outcome.

Company Registration Number

How did you hear about us?

Name

What initial credit facility do you require?

R

Select your closest Bizcash branch

Select industry

Primary Representative

I hereby verify and agree that I am duly authorized on behalf of the entity and its related director / members to provide and verify the details provided in the application process and that credit bureau checks can be done on the entity and its directors / members. I am the duly authorized person to accept the Terms Of Use on behalf of the company.

First Name

Last Name

Position

Email

Mobile Number

Landline Number

I hereby verify and agree that I have read and accept the outlined terms in the Privacy Policy on behalf of the entity and all directors / members.

I hereby agree to receive updates on product offerings as well as other marketing communication.

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2

Company Details

Company Details

Company Name

VAT Number

Income Tax Number

Company Website Address

Company Physical Address

Address Line 1

City

Postal Code

Address Line 2

Province

Country

Company Postal Address
Same as Physical Address

Address Line 1

City

Postal Code

Address Line 2

Province

Country

Company Registered Address
Same as Physical Address

Address Line 1

City

Postal Code

Address Line 2

Province

Country

Contact Information

Directors / Members

4

User Account Setup

Authorised Users

Same as Primary Representative

First Name

Last Name

ID Number

Address

Email

Mobile Number

Landline Number

Position

Add Users

Additional User - Additional authorised users (such as finance and admin clerks)

Grant user Release Authority

First Name

Last Name

Position

Email

Mobile Number

Landline Number

NOTE In order to protect your company, only the owner or director of the company and the Bizcash team can activate additional users and/or amend release permissions.
5

Bank Details

Your information is Safe
All information provided will be stored safely and securely as per the Privacy Policy and will be used purely for the application process in order to determine an outcome.

Bank Details

Bank Name

Account Name

Account Number

Branch Code

I verify that these details are correct
6

Upload Required Documentation

Your information is Safe
All information provided will be stored safely and securely as per the Privacy Policy and will be used purely for the application process in order to determine an outcome.

To complete your registration, upload the following required documentation and/or a Bizcash admin consultant will contact you for this information.
* To remove or update your selected files, please reselect as required

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Supplier Registration

Please complete all fields before continuing to the next page

Your information is Safe

Primary Representative

Company Details

Company Physical Address

Company Postal Address

Company Registered Address

Directors / Members

Company Representatives - List all Representatives

Authorised Users

Additional User - Additional authorised users (such as finance and admin clerks)

Your information is Safe

Bank Details

Your information is Safe

To complete your registration, upload the following required documentation and/or a Bizcash admin consultant will contact you for this information.