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Application Form - Sage Pastel Payroll & HR

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Channel Partner <strong>Application</strong> <strong>Form</strong><br />

© <strong>Sage</strong> <strong>Pastel</strong> <strong>Payroll</strong> & <strong>HR</strong> 2013<br />

SAGE PASTEL PAYROLL & <strong>HR</strong> CHANNEL PARTNER APPLICATION FORM<br />

Invoice:<br />

ITC:<br />

Approved:<br />

Channel Liaison:<br />

FOR OFFICE USE ONLY<br />

Account No:<br />

Status:<br />

Date:<br />

Please select which Channel Partner Status you are applying for:<br />

Accountants Forum Non Selling.<br />

Please list Account Forum Member serial number: __________________<br />

Referral<br />

Non – PCI (Non- <strong>Sage</strong> <strong>Pastel</strong> Certified Installer)<br />

PCI (<strong>Sage</strong> <strong>Pastel</strong> Certified Installer)<br />

Company Name:<br />

Trading Name:<br />

<strong>Form</strong> of Ownership:<br />

COMPANY DETAILS<br />

Note: Please refer to Annexure A to identify the supporting documents required with your application.<br />

VAT Number:<br />

Registration Number/ID<br />

Physical Address:<br />

Postal Address:<br />

Mobile Phone Number:<br />

Telephone Number: ( )<br />

Fax Number: ( )<br />

FORM OF OWNERSHIP<br />

Code:<br />

Code:<br />

(PTY) LTD<br />

CLOSE CORPORATION<br />

PARTNERSHIP<br />

SOLE PROPRIETOR<br />

Page 1 of 4


Full Names of Directors:<br />

Identification Numbers:<br />

1.<br />

2.<br />

Date of Registration:<br />

Registration Number:<br />

CONTACT PERSON<br />

Title:<br />

First Name:<br />

Surname:<br />

E-mail Address:<br />

Mobile Phone Number:<br />

BANKING DETAILS (NOT MANDATORY)<br />

Bank:<br />

Account Number:<br />

Account Name:<br />

Branch:<br />

Account Type:<br />

Please list any sureties/liquidations/ judgements against the<br />

company:<br />

Please tick the description that best fits your organization:<br />

YOUR COMPANY<br />

Accounting Practice<br />

Commercial and Financial Accountant<br />

Shop front Software Retailer<br />

Software Dealer<br />

Software Consultant<br />

Training / Educational Organization<br />

Bookkeeping Service<br />

Other ________________________________<br />

COMPANY EXPERTISE<br />

Please tick all the areas of expertise provided by your company:<br />

Software Sales<br />

Hardware Sales<br />

Software Implementation<br />

Software Support / Troubleshooting<br />

Network Implementation & Support / Troubleshooting<br />

Other: ( please specify )________________________<br />

List : _____________________________________<br />

List : _____________________________________<br />

List : _____________________________________<br />

List : _____________________________________<br />

List : _____________________________________<br />

List : _____________________________________<br />

Page 2 of 4


KNOWLEDGE OF SAGE PASTEL PAYROLL & <strong>HR</strong><br />

<strong>Sage</strong> <strong>Pastel</strong> My <strong>Payroll</strong><br />

(Online)<br />

<strong>Sage</strong> <strong>Pastel</strong> MicrOpay<br />

<strong>Sage</strong> <strong>Pastel</strong><br />

Partner <strong>Payroll</strong><br />

<strong>Sage</strong> <strong>Pastel</strong><br />

<strong>Payroll</strong> 5in1<br />

<strong>Sage</strong> <strong>Pastel</strong> Evolution<br />

(<strong>Sage</strong> <strong>Pastel</strong> <strong>Payroll</strong> & <strong>HR</strong>)<br />

Features<br />

Program Installation<br />

Troubleshooting<br />

Customisation<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Other: (please specify)<br />

OTHER SOFTWARE DEALERSHIPS<br />

Other approved software dealerships:<br />

1.<br />

2.<br />

EMPLOYEE INFORMATION<br />

Number of employees:<br />

Please specify qualifications / background:<br />

Do you wish to become PCI Qualified:<br />

Name of <strong>Sage</strong> <strong>Pastel</strong> <strong>Payroll</strong> & <strong>HR</strong> Certified Installer/s:<br />

Other information you wish to add to motivate your application<br />

PLEASE EMAIL THIS COMPLETED FORM BACK TO US:<br />

Please email your completed <strong>Application</strong> <strong>Form</strong> to channel@pastelpayroll.co.za<br />

For any additional assistance, please contact a Regional Channel Liaison on:<br />

Easten and Western Cape:<br />

Gautend and Other Regions:<br />

Kwa-Zulu Natal:<br />

Tel: +27 21 522 7400 (Leandi and Jody)<br />

Tel: +27 11 304 4210 (Omphe and Laurelle)<br />

Tel: +27 31 537 7100 (Nirvana)<br />

All application forms are subject to approval by <strong>Sage</strong> <strong>Pastel</strong> <strong>Payroll</strong> & <strong>HR</strong>. <strong>Sage</strong> <strong>Pastel</strong> <strong>Payroll</strong> & <strong>HR</strong> reserves the right<br />

to alter the Channel Structure or terms of this agreement without prior notification. Please note that the uraround time<br />

for application approval is 48 hours.<br />

Banking Details:<br />

Name: <strong>Pastel</strong> <strong>Payroll</strong> a Division of <strong>Sage</strong> South Africa<br />

Bank: ABSA<br />

Branch: Sandton Business Centre<br />

Branch Code: 331155<br />

Account Number: 406 336 0120<br />

Page 3 of 4


ANNEXURE A<br />

Please refer to your company’s form of ownership below to identify the supporting documents required<br />

with your application.<br />

SOLE PROPRIETORS<br />

SA ID Document / Passport<br />

CK1: Founding Documents<br />

ID / Passport of all members<br />

CK2: Amended Founding Statements<br />

CK2A: Accounting Officer and Address<br />

Compulsory<br />

CLOSE CORPORATIONS<br />

Compulsory<br />

Compulsory<br />

Where Applicable<br />

Where Applicable<br />

PUBLIC OR PRIVATE COMPANIES<br />

CM1: Certificate of Incorporation<br />

CM29: Register of Director and Auditors<br />

CM46: Certificate to commence business<br />

ID/Passport of all members<br />

CM9: Certificate of change of name<br />

CM22: Amendments to company Information<br />

Compulsory<br />

Compulsory<br />

Compulsory<br />

Compulsory<br />

Where applicable<br />

Where applicable<br />

NEWLY REGISTERED COMPANY<br />

COR 14.1 + Annexure A&D: Notice of Incorporation<br />

COR 14.3: Registration Certificate for a local Company<br />

COR 15.1: Memorandum of Incorporation Short Standard <strong>Form</strong><br />

ID/Passport of all members<br />

COR 15.3: Notice of Alteration of Memorandum of Incorporation<br />

COR 15.3: Notice of Alteration of Memorandum of Incorporation<br />

COR 21: Notice of Change of Registered Address<br />

COR 39: Notice of Change of Directors<br />

Compulsory<br />

Compulsory<br />

Compulsory<br />

Compulsory<br />

Where Applicable<br />

Where Applicable<br />

Where Applicable<br />

Where Applicable<br />

Page 4 of 4

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