‘NATIONAL HOME BUILDERS {i REGISTRATION COUNCIL APPLICATION FOR REGISTRATION- AR003 «, Note: The time taken to complete all sections Process the application is dependent on the thorough completion of this form. following basic principles. Write in black pen. Print one letter per box. Take the time to of the document and attach relevant documentation where necessary. For ofc use only App Mo: SSN Ee Na aS Centoary eet Trang Nara Pest Petal Code To Region 6 ° 9 ° 9° ° ° ° 8 Enter Cope Frei Sauna ‘razr Shamans erumcamn Greens Setrovnce Ses cpa Tlpnone Number ey Col Naber : (fti- Esmal acres | Year Sire Trading Number of Hovees bul ung et ee years Yer Number Yor Number Year Number Naber of Employees Company Region Namber / ii \VAT Registration Number I Please attach copies of all the ‘etovant region documentation Barring Counc Rapstaton Number ‘Type of legal Main Business Area How many unite do you, | | typ of builting to be wort A Od Tome capeen | [FI Yoretatrsoontes | |g Cavs || EY eae samy wx Of Pare Dec |) Crew | | Cl omcn ome womens Do sere ewe ise Fi etn be Sere orties O pe Beeston ne Chan || 5 Mosman a” ff ID rrvaw Bonner C620 Ch asost0 | | 1 conertina Masonry womens — ut oa Dee O Oi tterranesseson) || HOI Management [I ot, sae 0 Oeron |/O i“ Re ooo tee Down EEX fo 2190 Cl rwtermn | Ncceenees —— 0123506768 ‘Any Company using a building system (non-traditional construction) must please request ‘4 Form 5001, This document is to be completed by the company and handed in together ‘withthe AROOS application form.~ a SECTION B: DIRECTOR DETAILS Please complete the following details for all Company Directors. Copies of the relevant ID book must accompany this ‘pplication form. ‘Managing Director Tile ‘nitals_Sumame ‘Shareholding 1D Number Tile Initials Surname Shareholding 1D Number Tie Iniiaks Te Initials Sur Tite ‘nitals_ Surname Shareholding ID Number ‘Should there be more than 7 directors, please copy this page and add the relevant directors. 109506746rc res Do any ofthe Directors have ownership inks to registered NHBRC members or applicant NHBRC members? © Yes ‘ONe If, yes, please give details Company Director's ID Number Relationship Thy 7 T ] I T TTT Oves ‘ONe provide the folowing information ar Company i Directors/Senior Manager's ID Number Position ‘Company Director's/Senior Manager's ID Number Postion T I 1 ‘Company Director’s/Senior Manager's |D Number Position l SECTION C: COURT ACTIONS/LEGAL ICAT! Have any ofthe Directors, shareholders, members, iustees or senior management ofthe applicant been involved in any company partnership or business which has been placed under Judicial Management or Yes No Liquidation? If, yes, please provide the following information and attach a separate schedule giving full detalis Company Director's/Senior Manager's IO Number Psion involved in any company partnership or business which has had it'stheir fidelly fund certificates withdrawn by QYes ONO giving full details. } jrector's/Senior Manager's ID Number Position |s any legal action instituted against you presently pending as the resuit of alleged construction defects? If yes, please attach a schedule giving details. Ores ONo Have any cases of legal action instituted against the applicant been settled out of courtidecided in court in the ‘wo years prior to the date of application? if yes, please attach a schedule giving detail {fat any point, a complaint is made against your company and investigation reveals that the above is inaccurate, this may lead to you being de-registered. aaseso674sPage 7 SECTION D1: BANK REFERENCE ‘Your bank will be approached to provide a credit rating. A cheque account is essential for this purpose rather than a savings account. A letter from your bank outlining the scope of your general banking faclilles may speed up thie application process. Bank Branch ey Number 7 I a ‘Account Number Cheque Account Number Cheque l | | © Savings 0 Savings 1 Transmission Transmission Name of Manager Tephone Number Fax Number Bass ‘Give the names of THREE people for whom you have completed bulding work (preferably new horses you have bull ary) These people may be asked for their views on your ually of work. For speedy processing a working hours coniect tet sesso ‘most helpful. IntiatsSumame Day Telephone Number Evening Telephone Number cress Town Postal Address Town ode Date pees mi Intials Sumame Day Telephone Number Evening Number Town Town Code Price of Contract eT R a 7 Evening Telephone Number Postal Address Town Code Date Completed Price of Contract L-LL- T] je 6800506743TION D: UPPLIER REFERENCES Give the names of THREE suppliers that you use on a regular basis, who can comment on your credit worthiness and the quantities of your material purchases. If you purchase cash only, please attach copies of three recent invoices. Tite ni ‘Sumeme ‘Telephone Number im F Physical Address Town Postal Address Town Code fnivals Su aaa ee FaxN ) q Town Postal Address Town Code Ti Tnilals Sumame A Town Postal Address Town Code! iat jar basis, who can comment on your reputalion and qualty of your “Telephone Number Sm F Physical Addre Town Town Code Tite jumame Town Postal Address Town Code 3411506741 eesional reference would bea bung inspecor, an ‘An example architect, a quankity surveyor or TLC inspector.Pages — SECTION E: TECHNICAL MANAGEMENT OR CONTROL Ai mastered members must maintin adequate loves of technical contol fo monlior and maintain consruction qual. These parsons may be approsched te _xblan the technical management contol systenis in your company. This applies Sevelopmant companies we wel a fo contacting onree’ The Person responsibe for Construction Qualify In your Company. 1D No. T 1 Ils Suma pat I Telephone Number Fax Number el Number L1})- “OO uatcatons HI Experience Has this person received a copy of the Home Building Manual? © Yes ONo 1 Reietten you conan wb oid meet here uments Pee esr es is aunt an thes prope cnn ule tin The Enginering Fie you normaly us for Engineors Foundation Design and Geils, facade ean fate comrone of ORs Nas Bang san Sere Seen PE Selly Encinas Prods Pave prone | Title Initials ‘Telephone Number onan Fa fd Twn Postal Ades = = Tile Inals Surname Telephone Num orn ar [ LT] Town, Fosial Adress os Coa Ti {oi Su Com, Postal Address Town cote Postal Address Town Code Plaase provide on a separate schedule an explanation of how you monitor the construction qualty of your contractors. ‘3774506743—_ Page 7 TT] SECTION F: AFTER SALES CUSTOMER SERVICE / NHBRC CONTACT At registered menbers obi fo met th oligntons to housing consumers ad the Cou In ts of the Housing Consumer Proton Measures Act. The Peron responsible fr At sles Customer Sercein Your Company 1 Ne.[ nn] Initals sumame Peston , 1] | [ | I Telephone Number Cel Number l I )-On Qualifications | 7 Experience . I l ‘The Person who willbe the main NHBRC contact? 1D No. m Inials_ Sumame 0 Telephone Number Fax Number ‘Coll Number tit- ( )-C01 Qualifications I 7 Experonce SECTION G: PAYMENT DETAILS To process your application, a payment of R750 must be received, iit Is net recalved, lication wil not be processed. ine ication ea enon vfundaa. You may ish pay te annul eine oon tonal Gea 3th sme ime. assist in speeding ‘once mis approved. your a rejected, wil assist speeding up the proces once you applications approved. your application fs annual Payment may be made either by cash, cheque or direct deposit into the NHBRC's account. Please attach either the ior proof of the rent may by dopo: payment or proof 10 this Application BANI First National Bank ‘Account Number: 62081366520 Branch Code: 255005 SECTION H: DECLARATION |, the undersigned, being duly authorised to sign this application, hereby certily thatthe information provided in this document is ‘accurate and complete as atthe date of application, |, on behalf of the applicant, understand that itis an offence in terms of Section 21 of the Housing Consumer Protection Measures ‘Act to knowingly withhold information or to furnish information that | know to be false or misleading required in terms of this Act. | also know that on conviction of such an offence, |, or the directors, trustees, managing members or officers of the applicant home builder may be subject toa fine not exceeding R25 000 orto imprisonment not exceeding one year on each charge. {understand that the applicant home builder must comply withthe terms of the Housing Consumer Protection Measures Act and ‘any subsequent Regulations issued in terms of this Act. | hereby authorise the Council to make such enquiries as necessary to verify the information contained on this form. | attach my application fee, ser iret CO = —_ womens T]=[T- 4a22soe7aa ul— Pages 7] SECTION I: FINANCIAL ‘The NHBRC requires some financial details of your company in order to assess your day to day business operations. ae eS ‘at a Seater eoreae: your tumover ial ] Rett d | during the a — freer RLU TT el, 1, RECT sfc Faocesh blesitoioee 100,00 1,00, 18,00, OOProfit OlLoss Profit OlLoss Profit Loss Please attach a one page schedule detailing your current fixed assets and labiltes. If available, the previous three year’s financial Statements andior your business plan should also be attached to the application form. SECTION J : GUARANTEES 1s your Company a Subsidiary? Oves ONo All subsidiaries require a Parental Company Guarantee. The Parental Company Guarantee is @ letter signed by an authorised official of the Parent company, agreeing to take responsibilly for any warranty obligations ofthe subsidiary should that subsidiary company, default. This letter, on the parent company letterhead, must accompany your application, Penal Company Neme jt Peron (Ti an Name) : Parental Company Regisaton Number ‘Telephone Number r evtLo-co Registered Adress Town Code LT | LLU | [ See eee Name r Mepiersinas— Ment Sumane Membership Nu , I | PU) Have you atiaredalthe necossary documents to this application? Please tck each box whore nectssary. Copy ot 0 documents ofa Drees? Copy of Registrar of Companies ragistraion [__] Soeonan? Copy o VAT eaten coriate? Copy china Couns Regisroton — [_] eer? Any sheds ested byt NHBRC? Cope ot cine you purchase cash ony fem soppion? Fanci! Sutomentsbusiess Pan? [L_ Penal Guraise? Copy of canceled cheque? eM eka eke Na Application Fee ©) Cheque Received O Cash Received © Deposit Slip Received ‘Membership Fee ©) Cash Received © Cash Received ‘© Deposit Stip Received ‘Home Building Manual ©) Cheque Received O Cash Received O Deposit Slip Received Receipt of Documents CQ) Regional Office O Post OCentral Office © Courier 06650674