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CA.

The Executive Officer Tel: 061-2807224


Social Security Commission Fax: 061-280140/121
Private Bag 13223
Windhoek
REQUEST FOR GOOD STANDING CERTIFICATE

Trade Name : ___________________________________________________________

Postal Address: _________________________________________________________

Social Security Number: __________________________________________________

Employees’ Compensation Number: ________________________________________

Nature of business: ______________________________________________________

No. of registered employees: ______________________________________________

Name of contact person: Tel: _____________________

Contact Telephone Number: _______________________________________________

Email address: __________________________________________________________

TENDER NUMBER/S CLOSING DATE

________________________ __________________
Employer Signature Date

NB: PLEASE SUBMIT YOUR REQUEST TWO DAYS BEFORE THE CERTIFICATE IS REQUIRED.
FOR OFFICIAL USE

Received by: _____________________ Date: _______________ Time___________________

Issued by: _________________________________________ Date: ____________________

Remarks: ____________________________________________________________________

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