Petra Diamonds Limited is one of the world’s leading suppliers of rough diamonds and one of the largest independent diamond groups by resource. It’s a polished diamond we’re after for this role - an individual that clearly outshines his/her peers:

24 NOVEMBER 2023: LOCAL ECONOMIC DEVELOPMENT- AGRICULTURE DATABASE EXPRESION OF INTEREST:

This is a request for companies and individuals based within Cullinan Diamond Mine’s Host communities interested in participating in an Agriculture Initiative. The aim is to foster sustainable economic growth, job creation, and skills development in the host communities of Petra Diamonds. Please note that there is currently no tender or funding for this initiative.

The purpose of this expression of interest is for the Multistakeholder Forum to identify those already involved in Agriculture and capture what they are currently doing, and to identify those who are interested in getting involved. The idea would be to work with a team of selected individuals and companies to develop solutions and secure funding for their implementation.

We therefore request that interested local companies and individuals express their interest by completing this form and submitting their information.

PLEASE COMPLETE ALL FIELDS AND ATTACH REQUIRED DOCUMENTS:

Please note that the information requested is not for qualifying or disqualifying companies or individuals but will be used to assist in evaluating submissions. (Please note that you can either complete the form as a business owner or an interested individual)

Information of the Company OR individual

Company Name

Registration Number

Contact Person

Email Address

Phone

Township

1. REQUIRED DOCUMENTS:

Please attach the following required documents and tick the appropriate box below. Company documents only applicable for registered company owners.

Company Registration Documents (CIPC)

No file chosen

Proof of (Host Community) Address

No file chosen

2. EXPERIENCE AND SUGGESTIONS

1. Are you currently involved in Agriculture?

2. What is the main purpose of your involvement in agriculture?

a) Poultry productionb) Livestock productionc) Vegetable productiond) Fruit productione) Industrial Crops

3. What is the main purpose of your involvement in agriculture?

a) Main source of household/organisation foodb) Extra source of household/organisation foodc) Main source of household incomed) Extra source of household income

4. Do you currently have land? (yes/no)

5. If yes, how much of the land do you own (in hectares/ square metres)?

6. Out of that total land how much of it for you do farming on?

7. What is the location of your farming land?

a) Household Backyardb) Farming landc) Communal landd) School, church, or other organisational lande) Other (please specify below)

More Details (If Applicable)

8. What creative and innovative ideas do you have for agriculture?

DISCLAIMER

I, the undersigned, herewith confirm that the information provided is true and correct to the best of my knowledge, the accuracy of which can be verified through certified copies of supporting documentation.

Thus, signed and acknowledged at

on this

day of

PRINT NAME

IMPORTANT NOTICE

Completing this form does NOT make your company a Registered Vendor or a Contracted / Preferred

Supplier.

This is NOT an invitation to tender / quote – the information provided will be used for identification of potential candidates.
Forms may be submitted in the following ways:
Directly completed online at https/:cdm.sedgeimpact.com and select the Cullinan Diamond Mine Waste Management form.
- Submitted via email to CDM-ESD@sedgeimpact.com