Entity Creditors Registration Creditors Entity Registation Select Capacity * Director Member Manager Accountant Trustee Owner Full Name of Legal Entity and Registration Number * Full Name of Legal Entity Representative * Full Physical Address of Legal Entity * Full Postal Address of Legal Entity * Email * Phone * Amount of Claim in Rands (ZAR) * Amount of Claim in Rands (ZAR) typed in words * Cause of Monies owed to you (Please select from the dropdown menu). * Investment Made Investment Made Services Rendered Professional Service Rendered Goods Sold and Delivered Money lend and advanced Today’s Date * Select Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select Month * Select Month January February March April May June July August September October November December Select Year * Year 21 22 If you are human, leave this field blank. Submit