Survey - Emails Pros

VIRTUAL WORKING
QUESTIONNAIRE

Uju Management Services (Pty) Ltd

VIRTUAL WORKING QUESTIONNAIRE

Covid-19 regulations require that ‘special measures’ must be implemented for employees, more especially employees with one or more medical conditions listed below. The information supplied will assist the Company to put adequate and necessary health and safety measures, not limited to reasonable accommodation, to assist them to do their work in a safe environment. The information will be handled in the strictest confidentiality and shall not be used for any other reason except for putting special measures in place for employees with the listed health conditions.

Get Your Company Registered + Business Emails in 2 Days

Name

First

Last

Current Email address*

Mobile Number*

Which Service are you Looking for?*

Choose Company Name

All companies will be registered as (PTY) LTD. This will automatically be added to the end of your company name.

What is your company name?

Company Name*

Example: Bakang Projects

2nd choice*

If your name is unavailable, what is your next best choice?
Example:Bakang Project Services

What does your company do?*

Example: business consulting, information technology, general purpose

Business Street Address*

Building/Flat Number (optional)

City*

Province*

How Many Directors Your Company Has?*

1st Company Director's Details

Name

First

Last

Street Address*

Building/Flat Number (optional)

City*

Province*

Postal Code*

Certified copy of the Identity Document or passport of the Director

Upload a Certified ID or Passport Document*

PDF, or Jpeg file format

2nd Company Director's Details

Name

First

Last

Street Address*

Building/Flat Number (optional)

City*

Province*

Postal Code*

Certified copy of the Identity Document or passport of the Director

Upload a Certified ID or Passport Document*

PDF, or Jpeg file format

3rd Company Director's Details

Name

First

Last

Street Address*

Building/Flat Number (optional)

City*

Province*

Postal Code*

Certified copy of the Identity Document or passport of the Director

Upload a Certified ID or Passport Document*

PDF, or Jpeg file format

4th Company Director's Details

Name

First

Last

Street Address*

Building/Flat Number (optional)

City*

Province*

Postal Code*

Certified copy of the Identity Document or passport of the Director

Upload a Certified ID or Passport Document*

PDF, or Jpeg file format

Preferred Domain Name*

E,g: www.example.co.za

Email Address 1*

Email Address 2

Email Address 3

Email Address 4

Email Address 5

More information about you business

Preferred Domain Name*

E,g: www.example.co.za

Email Address 1*

Email Address 2

Email Address 3

Email Address 4

Email Address 5

Email Address 6

Email Address 7

Email Address 8

Email Address 9

Email Address 10

Please make a payment of R700 to proceed with your order.

Payment Option 1 - Bank Transfer:

Bank name: FNB Bank
Name: EmailPros
Account Number: 62923340955
Branch: 210835
Type: Cheque
Amount: R700
Reference: “Your Company Name”
Email proof of payment to hello@emailpros.co.za

Payment Option 2 - PayFast:

Pay Now

Please make a payment of R950 to proceed with your order.

Payment Option 1 - Bank Transfer:

Bank name: FNB Bank
Name: EmailPros
Account Number: 62923340955
Branch: 210835
Type: Cheque
Amount: R950
Reference: “Your Company Name”
Email proof of payment to hello@emailpros.co.za

Payment Option 2 - PayFast:

Pay Now

Please make a payment of R1700 to proceed with your order.

Payment Option 1 - Bank Transfer:

Bank name: FNB Bank
Name: EmailPros
Account Number: 62923340955
Branch: 210835
Type: Cheque
Amount: R1700
Reference: “Your Company Name”
Email proof of payment to hello@emailpros.co.za

Payment Option 2 - PayFast:

Pay Now

This field should be left blank

The National Institute for Communicable Diseases (NICD) jointly with CDC has recognised people with the following medical conditions as ‘high risk’ since these diseases can compromise the immune system and make people more vulnerable to serious complications from Corona virus infections:

Please complete the questionnaire below:

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