CUSTOMER

REGISTRATION FORM
PUBLICATION DATE: 1 MARCH 2023

Customer Details Date

Registered Name: Registration Number:
Trade Name:
Holding Company:
Physical Address: Postal Code:
Postal Address: Postal Code:
Tax Reference No: VAT Registration No:
Contact Person: E-mail Address:
Telephone No: Fax No:

Customer Banking Details

Please supply your Payment Account Details
Name of Bank: Branch Code:
Name of Account: Account Number:
Branch Telephone:
Please Tick Applicable

Account Type: Current Attachments: Cancelled Cheque

Savings Original Stamped

Bank Letter

Declaration

I / we, the undersigned, herewith certify that all of the above information is correct at the time
of completion. I / we furthermore certify that I / we have the appropriate authority to furnish the
above-mentioned information on behalf of our employer.

Name and Surname: Signature:

Designation: Date:

Focal Point Marketing T/A The Marketing Hub

Reg No 2007/097475/23
348 Rivonia Boulevard, Edenburg Terraces,
Unit B1, First Floor, Rivonia, 2128
Postnet Suite 387 Private Bag X29
Gallo manor 2052
Members T Yates | MM de Gee
01.
CUSTOMER
REGISTRATION FORM
PUBLICATION DATE: 1 MARCH 2023

Please include the below documentation with you application.

Please Tick Applicable Tick Comment

1. Customer Registration Form

2. An original cancelled cheque or stamped

letter from the bank, verifying the banking details.
Please note that any changes to bank details in
future will be subject to the same requirement.
3. Certified copy of current VAT certificate
(where applicable)

4. Original valid Tax clearance certificate

5. BEE Certificate, as supplied by a SANAS

Accredited Verification Agency

Focal Point Marketing T/A The Marketing Hub

Reg No 2007/097475/23
348 Rivonia Boulevard, Edenburg Terraces,
Unit B1, First Floor, Rivonia, 2128
Postnet Suite 387 Private Bag X29
Gallo manor 2052
Members T Yates | MM de Gee
02.