COMPANY - Namibia Breweries Limited

Here’s to celebrating a century's worth of memories and to creating many more!
Wishing You a Happy Centenary!

COMPANY

SECTION A - OWNERSHIP

Registered Name

Registered Address

Principal Place of Business

Trading Name

CC Number

Chairman/Director(s)

Name

Residential Address

Contact Number

ID Number

Email Address

Surety Form (Download Sign & Upload)

SECTION B - ADDRESS - BUSINESS DETAILS

Postal Address

Address of Licensed Premises

Telephone Number (Office)

Email Address

SECTION C - LICENCE

Type of License

License Number/(Receipt no. on License)

Expiry Date

Name of Licensee

Address of Licensed Premises

Email Address

SECTION D - FINANCIAL - BUSINESS

Bank

Bank- (if other)

Branch Code

SWIFT CODE

Account No.

Auditors

Address of Auditors

Financial Contact Person/Responsible Buyer etc.

Position

Telephone Number (if different to Above)

Date of Financial Year End

Permission to review annual Financial Statements?

Yes

No

Trade Reference Name 1

Telephone Number

Trade Reference Name 2

Telephone Number

Trade Reference Name 3

Telephone Number

VAT Number

Download,Sign and upload Surety Form

Would you like to be an online customer?

Yes

No

If no, Why?

Terms & Conditions (Download, Sign & Upload)

I agree to the Terms & Conditions

I agree that information is true and correct