PSD Client Information Form

Step 1 of 7

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Legal Entity Type(Required)

Sole Ownership

Partnership

Close Corporation

Private Co. Pty Ltd

Public Co. Ltd

Accounts Contact Information

Name(Required)

Email Address(Required)

Telephone No.

Fax No.

Bank Account Details

Name of Bank(Required)

Branch(Required)

Branch Code(Required)

Account No.(Required)

Type of Account(Required)

Date Account Opened(Required)

MM slash DD slash YYYY

If Account has been open for less than three years, please state details of previous account

Please initial here

Holding Company Information

Holding Company Name

Percentage Share Holding

Name of Auditors

Street Address

Telephone No.

Date of Last Audited Financials

MM slash DD slash YYYY

Details of Principals (Sole Owner/Partners/Members/Directors)

Full Name(Required)

ID Number(Required)

Home Address(Required)

Home Phone No.(Required)

Full Name

ID Number

Home Address

Home Phone No.

Full Name

ID Number

Home Address

Home Phone No.

Full Name

ID Number

Home Address

Home Phone No.

Full Name

ID Number

Home Address

Home Phone No.

Full Name

ID Number

Home Address

Home Phone No.

Please Initial Here(Required)

Consent(Required)

The Applicant warrants, undertakes, and confirms that it will supply to the the Supplier, true, honest and accurate information

Thus signed by THE CUSTOMER or its duly authorised agent/signatory who hereby warrants that he/she is authorised to sign on behalf of THE CUSTOMER.

Signed at(Required)

This(Required)

Day of (month) 2024 before the undersigned witnesses.(Required)

For and on behalf of THE CUSTOMER by (Please insert full names)(Required)

Designation(Required)

Signature(Required)

Date(Required)

MM slash DD slash YYYY

As Witnesses(Required)

Signature(Required)

Please Note

Please kindly provide the following documentation:

Company Registration Document(Required)

Max. file size: 1 MB.

VAT Document(Required)

Max. file size: 1 MB.

Company Proof of Address(Required)

Max. file size: 1 MB.

Bank Letter Confirmation(Required)

Max. file size: 1 MB.

ID of Directors(Required)

Drop files here or

Max. file size: 4 MB.

Registration can be removed should purchase not be made within 3 months.

We only accept EFT payments. When you make payment from a bank that's not Nedbank, it will take longer to reflect. Even if it's an immediate payment, it will take up to an hour to reflect in our account.

Please note:

1: Full payment due before delivery of items unless Standard terms and conditions for account has been signed and approved by Piri Solar. Payments are Within thirty (30) days from the date of receipt of Piri Solars Invoice.
2: All products are the property of Piri Solar until full payments received.
3: Goods will not be credited after 7 days from date of invoice. If returned within 7 days 20% handling fee will be charged. Items returned must be accompanied by documentation.
4: Guarantees exclude wilful damage, damage by fire, civil riots, lighting, transport and theft

This field is for validation purposes and should be left unchanged.