Date Requested Effective Date

Supplier - Data Base Adjustment Form Date Req Received Creation Date

SAGE Supplier No
Supplier Addition, Deactivate, or Update of existing information

Type of Request Addition - Commercial Supplier "One - off" Supplier? No For "One - Off" Supplier - Expirery Date
Sage Address Book No. Legacy Vendor Number (Long Address No.)
Address Book Details

Supplier Commercial Name Lastimp Investments Supplier Registered Name Lastimp Investments
Business Mail Address Business Physical Address

5 Wattle Avenue, Westview, Kadoma

sales@lastimp.co.za
City Kadoma Country Zimbabwe Postal Code City Kadoma Country Zimbabwe
Who's Who

Company Direct Line Number 263 772499708 After Hours Number 263 718432322 Fax No.

Contact Person Godfrey Muromba Direct Line 263 772499707 Mobile No. 263 772499707
Person Function Director Email Address sales@lastimp.co.za
Contact Person Itai Muripa Direct Line 263 737189110 Mobile No. 263 737189110
Person Function Supervisor Email Address sales@lastimp.co.za
Business Details
Tax ID No. VAT or Non-VAT? Withholding Tax %
Parent Company Name Lastimp Investments SAGE Registration No Lafarge Sub. No
Search Type V-Vendor Supplier Type (Cat Code 11) Prefered Lafarge Sub - HFM Code Business Unit

Description of Supplier
Products or Serivces General equipment cleaning, Estate maintainence,Building and construction work Sales Trans Type (CC19) Warehousing
Industry Class Code Dist Trans Type (CC27)
Bank Account Details (Optional)

Bank Name Stanbic Bank Account No 9140002995734

Account Holder Name Lastimp Investments Swift Code

Payment Term Mode of Payment T - EFT

Supporting Documents
Company Registration Certificate Supplied Registration Certificate No 7250/2008
Taxpayer Identification No Certificate Supplied Applicable Licence Provided

Applicable Proof of Training

Tax Clearance Certificate Supplied for Technicians provided

Applicable Technicians
Prequalification Audit Completed Qualifications provided

VAT Registration Supplied VAT Number

Banking Details on Bank Letter Head TPDD

Company Profile SCOBC

Safety, Health & Enviromental Policies

(Optional for Goods Suppliers, but must
adhere to Lafarge own Safety Standards)

Remarks/Motivation

For Finance Use

G/L Offset Currency

Requestor and Approvers

Requestor Department Business Process Owner - P2P Business Process Owner - MDM

SOURCING OFFICER SUPPLY CHAIN PROCUREMENT MANAGER GENERAL LEDGER ACCOUNTANT