3

016 341-7754

016 349 1919

5 FREEMAN AVE POSBUS 1930
HEIDELBERG
To: Maori
1441 Commodities /Sales Solutions RSA HEIDELBERG 1438
Att: C J Botes
Cc 2001/063508/23

COMMODITY PROCUREMENT OFFER: _______________________________

DATE:____/____/2018

DEAL REF NUMBER: ______________________________________ (OFFICE USE ONLY)

PROCUREMENT OFFER BY SELLER (OR PERSON DULY AUTHORISED:

COMMODITY DESCRIPTION

SPECIFICATIONS

FOT / FOT / DAP/ AREA/ DESTINATION:

FOR/CIF/COC /COD ETC.

SOURCE AREA DISTRICT

PRICING INCLUDING COMMS

EX VAT

SPOT/ IMMEDIATE QUANTITY

(IF AVAIL)

CONTRACT QUANTITY (min /

max)

CONTRACT PERIOD
AVAILABLE

PRODUCT VERIFIED (HOW?)

LATEST LAB REPORT ON

PRODUCT OFFERRED
ATTACHED- IF NOT WHEN IS
IT AVAILABLE?
SELLER CONTRACTUAL
CAPACITTY VERIFIED

LEGAL IN PLACE- VERIFIED

(DMR / LICENCES /PRODUCT
OWNER ETC)

TRANSACTION PROCESS

SELLERS TERMS

COMMISSION AMOUNT
APPLICABLE

COMMISION TO BE PAID BY:

(WHOM & WHAT
PAYMASTER- DETAILS)

OFFER PRESENTED AND NAME:

COMPLETED BY:
CELL:

EMAIL:

IS PERSON COMPLETING AND YES / NO: _____________

PRESENTING OFFER DIRECT
MANDATE: YES / NO (IF NO MANDATE NAME:
THEN INSERT SELLER CELL NO:
MANDATE DETAILS)
EMAIL:

OTHER:

OFFICE USE:

COMMISSION:
PLEASE NOTE THAT I/WE PERFORM THE ROLE OF TRANSACTION FACILITATOR IN MANY OF THESE INSTANCES
(WHERE 1/WE AM NOT DIRECT WITH SELLER/BUYER AND THUS NEED CLARITY ON THIS TO AVOID ISSUES DURING
PROCESS AND WANT THIS CONFIRMED BEFORE MY TEAM PROCEEDS SO DEAL CAN BE STRUCTURED ACCORDINGLY

1. WHICH SIDE WOULD WE/ I FALL INTO: BUYER/ INTERMEDIARY:

______________________

2. WHAT IS THE COMMISSION SPLIT AS ABOVE:

__________________________________________________

3. HOW MANY PEOPLE / WHO ELSE IN THESE PARTY’S AND WHAT ROLE HAVE THEY
PLAYED IN GETTING THE DEAL DONE (THEIR VALUE ADD) : BUYER /
INTERMEDIARY SIDE-________________________________

____________________________________________________________________________________
____________________________________________________________________________________

4. OTHER:
______________________________________________________________________________
______________________________________________________________________________

5. DECLARATIONS OF CAPACITY AND VALIDITY / CONTRACTABILITY OF OFFER / REQUEST:

6. Selling Mandate/ Person making offer: I / We the Seller’s Mandate (Lead party for the Seller) do hereby declare
that the person signing this document is duly authorised has done the required due diligence towards any future
proposed transactions in that the Seller stated herein stated is the legitimate holder and owner of the product
offered for sale and is not selling illegally mined product and has the necessary capacity to contract thereto and will
be accountable for false declaration/ information passed on by way of bearing any costs thereto. Note :( This is
applicable to any person completing this offer on behalf of the seller irrespective of being the mandate or not.)

SIGNATURE: __________________________________
(SIGNED BY PERSON PRESNTING THIS OFFER AS DEPICTED IN TABLE ABOVE)

INFO TO BE SENT TO: _________________________________________________________.

WHATSAPP: __________________ CELL: 0_________________ EMAIL:

____________________@gmail.com
(PLEASE NOTE- WITHOUT A FULLY COMPLETED AND SIGNED DOCUMENT WE WILL NOT PROCEED- WE APPRECIATE
PEOPLE HATE PAPERWORK HOWEVER WE CONNECT REAL BUYERS WITH REAL SUPPLIERS AND EXPEND A LOT OF
TIME AND RESOURCES IN DOING SO- SO WOULD APPRECIATE THE SAME RESPECT IN RETURN- THE CORRECT INFO
IS VITAL TO BRINGING DEALS TO A FAST CONCLUSION).

So declared and attested this date at _________________________on ________thof ___________ 2019

SIGNATURE:

NAME Cornelus Johannes Botes ID NO: __________________

Reference No: CJB/MBN/SS/SML/_________/2019

POSITION: Director Facilitator Mandated

Seller: NAME _____________________ ID NO.___________________________________

SIGNATURE:________________________________________POSITION: Chief Executive Officer

Acceptance of Offer: ___________________________________________________________________________

Special Notes: _________________________________________________________________________________

So declared and attested by the BUYER this date at__________________on ______of______________2019

BUYER’S NAME ______________________________________ID NO: _____________________________

SIGNATURE: _____________________________________POSITION:___________________________

COMPANY: _________________________________________

SWORN AND SUBSCRIBED TO BEFORE ME, THE UNDERSIGNED NOTARY PUBLIC,

AT_________________________THIS______________________DAY OF ______________________2019

SIGNATURE: _____________________________________POSITION:___________________________