SMME INFORMATION SURVEY As part of the auditing process for the ESD Programme, we request that you kindly confirm the following information regarding your company structure. The information provided will be used to do the following:1. Keep the database updated.2. Strengthen the credibility of your company details in the ESD DatabaseCompany Name *Registration Number *Contact Person *Email Address *Contact Number *RegionRegionRegion 5Region 7Township (Community) *Directors InformationCOMPANY SHAREHOLDING STRUCTURE AND MANAGEMENT STRUCTURE Please complete the following details relating to shareholdingName and Surname of Shareholder *ID Number: *% ShareholdingYouth *YouthYesNoGender *GenderMaleFemaleDisabledDisabledYesNoName and Surname of ShareholderID Number:% ShareholdingYouthYouthYesNoGenderGenderMaleFemaleDisabled *DisabledYesNoName and Surname of ShareholderID Number:% ShareholdingYouthYouthYesNoGenderGenderMaleFemaleDisabledDisabledYesNoIf your company has more directors please include them belowCOMPANY EXPERIENCE AND CAPABILITIES What does your company do *Has your company worked with the mine before?YesNoIf yes please provide description of the opportunityDate opportunity was awardedSubmit
