Your Company: Your Full Name: Your Email: Unique ID:

    1. Does the gross income for the year of assessment exceed R20 million?YesNo

      2. Comment:

    2. Does the members / shareholders of the company hold any shares or has interest in the equity of any other non-listed company or cc?YesNo

      3. Comment:

    3. Are the shareholders natural persons?YesNo

      4. Comment:

    4. Are 3 or more unconnected persons employed by the company?YesNo

      5. Comment:

    5. What is the nature of your business?

      6. Other: