Onboarding

KIBOKO

COFFEE CO.

Tel: 010 100 8170

Email: admin@kibokocoffeeco.com

Head Office: Unit 6, Rutland Mews Cnr Main & Keymer Rd Eastleigh, Edenvale, 1609 South Africa

Company Reg: 2001/430350/07 VAT: 4300294925

Applicant Details

Registered Title of Applicant *

Trading Name

Name in Which Account Will Operate

Physical Address

Postal Address

Telephone Number *

Email Address *

Date of Registration / Incorporation / Establishment

Company / CC Registration Number

VAT Registration Number (copy required)

Attach VAT Registration Certificate

Attach Certified Copy of ID

Attach Company CIPC Registration Certificate

Directors / Partners / Members

Full Name

ID Number

Business Information

Nature of Business

Bank Details (bank, account holder, account number, branch code)

Person Responsible for Account

Name

Phone Number

Email Address

Trade References

Name

Telephone

Authorisation

Name

Designation

Date

This digital submission is treated as confirmation from the person named above. A physical or e-signature can be provided separately on request.

Sending submits this registration, plus the attached ID, CIPC registration certificate, and VAT certificate, directly to Kiboko's inbox via a secure form backend — no email app needed. Fields marked * are required.

Banking Details:

{%- comment -%} Replace with your real banking details text (kept out of this file intentionally) {%- endcomment -%} Kiboko Coffee Roasters (Pty) Ltd. — Bank: [Bank Name] | Account No: [Account Number] | Branch: [Branch Code]