REGISTRATION OF INSTITUTIONS Kingdom of Swaziland Construction Industry Council Established by Act No. 14 of 2013 Dlanubeka Building Ground Floor, Suite No. 5 P.O. Box 5020 Mbabane Swaziland Tel: +268 404 9848 Fax: +268 404 8527 Email: info@cic.co.sz Website: www.cic.co.sz APPLICATION FOR REGISTRATION OF INSTITUTIONS 1. Institution Name: ____ __________________ 2. Name of Institutions Principal: 3. Postal address: 4. Telephone No.: Fax No. Email: 5. Name of Department that undertakes Construction Works: 6. Types of Construction Works undertaken within Institution: 7. List construction projects to be undertaken by Institution in the next three years and their values: PROJECT NAME PROJECT VALUE 8. Value of projects undertaken annually: E0 million E0.5 million E2 million E5 million E10 million E25 million to to to to to to E0.5 million E2 million E5 million E10 million E25 million above 9. UNDERTAKING: I __________________________representing___________________________________________ name name of Institution herein in my capacity as___________________, do hereby certify that I am duly authorized to sign position this application for registration and further bind the company/myself to the conditions thereof. Signed at: ___________________on this day_______ of_____________ 2015. Signature: ________________________ Institution Stamp For Official Use: Date of Receipt of Application: d d m M Registration Certificate No:___________________ Approved: : Yes y y y y Details Verified: Yes No No CIC Stamp Signature of Approving Officer: _________________
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