1 APPLICATION FORM TO REGISTER UNDER THE ECONOMIC

TELEPHONE: 3601200
MINISTRY OF TRADE AND INDUSTRY,
TELEFAX: 3971539/3913209
PRIVATE BAG 004,
EMAIL: [email protected]
GABORONE
WEBSITE: www.mti.gov.bw
REPUBLIC OF BOTSWANA
BOTSWANA
ALL CORRESPONDENCE MUST BE ADDRESSED TO
PERMANENT SECRETARY
APPLICATION FORM
TO REGISTER UNDER THE ECONOMIC DIVERSIFICATION DRIVE
(EDD) INITIATIVE
(To be completed in duplicate)
1.
PARTICULARS OF THE COMPANY
a) Name of the company: ………………………………………………………………
b) Ownership (Particulars of Shareholder)
NAME
CITIZENSHIP
% OF SHARES
……………………………
……………………
…………………………
…………………………….
……………………
………………………….
c) Postal Address: …………………………
Email: …………………………………
Telephone No.: …………………………
Fax No.: ………………………………..
Contact Person: ………………………..
Designation: …………………………..
Plot No.: ………………………………..
Location: ………………………………
City/Town/Village: ……………………………………………………………………
2.
CERTIFICATE OF INCORPORATION OR REGISTRATION NO: ………………
3.
LICENCE OR EXEMPTION REFERENCE NO: ……… EXPIRY DATE: ………..
4.
GOODS/SERVICES PRODUCED: …………………………………………………….
……………………………………………………………………………………………...
………………………………………………………………………………………….......
……………………………………………………………………………………………...
5.
NUMBER OF EMPLOYEES: ………………………………………..............................
6.
INVESTED CAPITAL (IN PULA): …………………………………………………….
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7.
ANNUAL TURNOVER (IN PULA): ………………………………..
8.
PRODUCTION CAPACITY
a) Production during the previous year……. (Specify year):
Product(s)
(Specify)
Units
Quantity
Value
…………………..
…………
……………
……………
…………………..
………….
…………….
…………….
b) Capacity projections (new companies/expansions)
Product(s)
Units
Quantity
(Specify)
9.
Value
……………..
……….
………..
……………
……………..
………..
…………
……………
TENDERS AWARDED DURING THE PREVIOUS YEAR (specify year):
Products
Value (in Pula)
Name of Awarding Authority
……………………………..
…………………..
……………………………….
…………………………….
…………………..
…………………………………
…………………………….
……………………
………………………………….
…………………………….
……………………
………………………………….
10. DECLARATION BY THE APPLICANT OR COMPANY’S AUTHORIZED
REPRESENTATIVE
I hereby declare that:
i.
Information provided in this form is correct to the best of my knowledge
ii.
Goods and services supplied shall be locally produced
iii. Authorised officers shall be allowed access to the company’s books of
accounts, labour records (payroll), production records and premises at
anytime.
NAME: ………………………………………………………………………………………...
DESIGNATION: ……………………………………………………………………………...
SIGNATURE: ……………………………………
DATE: ………………………………
DATE STAMP: …………………….
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FOR OFFICIAL USE ONLY
1.
Date of receipt of application…………………………………………………………..
2.
Date of approval of application…………………………………………………………
3.
Communication date…………………………………………………………………….
4.
Category………………………………………………………………………………...
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CHECKLIST
Before submitting the application, please ensure the following are included:
1. Two copies of the application form dully completed.
2. (a) Copy of most recent financial statement.
(b) New enterprises are allowed to submit projected financial statements provided the
enterprise has been in operation for less than a year, (for the first year of application
only)
3. Certified copy of current valid relevant license or registration certificate from a
competent authority, (for manufacturing/industrial license attach the copy of the
receipt for annual fee).
4. Certified copy of registration and/or incorporation certificate issued by the Registrar
of Companies and Intellectual Property, (For new applications only).
5. Certified copy of Tax Clearance certificate.
NB. Please note that EDD Guidelines require the following for tendering purposes:

For turnover thresholds up to P5 million only implementation of product
standards and/or implementation of a Quality Management System are
required or parts thereof.

For turnover thresholds of above P5 million quality certification will be
required. Quality certification should be sought from BOBS or other
recognized certifying bodies depending on the nature of the product/service.
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