Broad-Based Black Economic Empowerment Act, 2003 (Act No. 53 of 2003)

Regulations

Purchase

BROAD-BASED BLACK ECONOMIC EMPOWERMENT COMMISSION

FORM: B-BBEE 14

APPLICATION TO EXCEED QUALIFICATION CRITERIA

(in terms of Section 9(6) of the Act)

(Please complete the application in full. Use additional paper if necessary)

SECTION A: APPLICANT INFORMATION

Name:

Identity/Registration Number:

Address:

Telephone Number:

Email Address:

Indicate if Public entity/Private/Organ of state:

SECTION B: SCORE CARD

Tick target set

	Priority Elements

	Management Control and Socio-Economic development

Indicate proposed scorecard:

Ownership	Skills development	Enterprise and supplier development	Proposed scorecard	Subminimum target (over 40%)