Core Supplier Engagement Program (CSEP)

Introduction

This self-registration application represents an expression of interest from the potential supplier to conduct business with Mototolo Platinum & Divesting / Demerging Parties in 2025. Once submitted, your details will be maintained amongst a pool of potential suppliers who are available to be invited to suitable sourcing events or be put through full qualification should Mototolo Platinum & Divesting / Demerging Parties in 2025 wish to conclude any business with you. Please note- Registration, or indeed full qualification, does not guarantee you business from Mototolo Platinum & Divesting / Demerging Parties in 2025, nor does it represent a contractual agreement or arrangement in any way.

Supplier Details

GUIDANCE If you render services as either an Individual or Sole Proprietor, please note that the questionnaire contains several mandatory questions relating to legal entities. Therefore, for these type of questions, you may answer as follows: (1) Company Legal & Trading Name – enter your full name or the name used for business related activities. (2) Company Registration Number – enter your ID or Passport number. (3) Company Registration Date – enter the date which the business commenced. (4) For all other non related Individual or Sole Proprietor questions, type in ‘NA’ for text questions or ‘0’ for numerical questions. Please note, if ‘NA’ (or ‘0’) has been used inappropriately to respond to relevant questions supporting your submission, your current registration may be cancelled. Should such a cancellation occur, a new application will need to be completed.

Are you currently a Supplier to Mototolo Platinum & Divesting / Demerging Parties in 2025? *

Yes

Supplier Identification

* Company Trading Name

* Primary Contact Full Name

* Company Registration Number

Founding Year

Short Business Description

* Number of Full-time Employees

* Primary Email Address

* Primary Mobile Number

* Primary Work Number

SECTION B: CONTACT INFORMATION

Primary Contact Full Name

Designation

Mobile Number

Work Number

Email

Company Website

Financial & Banking Information

* Registered Company Address

* Postal Address

* Preferred Communication Method

Phone

Post

SECTION D: FINANCIAL & TAX INFORMATION

* VAT Registration Number

* Income Tax Number

Bank Name

* Branch Code

* Account Holder Name

* Account Number

Account Type

SECTION E: COMPLIANCE & CERTIFICATION

* B-BBEE Level

* SMME Status

* Attachments Checklist

SECTION F: REFERENCES

Client Reference 1 Name

* Reference Organisation

* Reference Email

* Reference Contact Number

Client Reference 2 Name

* Reference Organisation

* Reference Email

* Reference Contact Number

Client Reference 3 Name

* Reference Organisation

* Reference Email

* Reference Contact Number

SECTION G: DECLARATION & ACCEPTANCE OF TERMS

Declaration by Supplier

I, the undersigned, hereby declare that the information provided in this form is true and correct to the best of my knowledge. I further confirm that I have read, understood, and agree to the procurement terms, confidentiality obligations, delivery protocols, and HSE compliance requirements of Mototolo Platinum (MPLATS ENTERPRISE (PTY) LTD).

I understand that any false declaration or failure to comply with Mototolo Platinum’s procurement policies may lead to disqualification, contract cancellation, or blacklisting from future sourcing opportunities.

By signing this declaration, the supplier agrees to:

Provide all goods/services in accordance with applicable South African laws and mining regulations

Adhere to safety, quality, and environmental standards including HAZMAT/HAZCHEM protocols where applicable

Maintain the confidentiality of any information obtained from Mototolo Platinum

Accept all bid and order terms as issued in formal purchase requisitions or purchase orders

* Accept declaration

Authorised Representative Details

* Full Name

* Designation