Free affidavit form 46
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SWORN AFFIDAVIT – B-BBEE EXEMPTED MICRO ENTERPRISE
I, the undersigned,
Full name & Surname
Identity number
Hereby declare under oath as follows:
1. The contents of this statement are to the best of my knowledge a true reflection of the facts.
2.

I am a member / director / owner of the following enterprise and am duly authorised to act on
its behalf:

Enterprise Name
Trading Name
Registration Number
Enterprise Address

3.



I hereby declare under oath that:
The enterprise is ______________% black owned;
The enterprise is ______________% black woman owned;
Based on the management accounts and other information available on the _______ financial
year, the income did not exceed R10,000,000.00 (ten million rands);
Please confirm on the table below the B-BBEE level contributor, by ticking the applicable
box.

100% black owned

Level One (135% B-BBEE procurement recognition)

More than 51% black
owned
Less than 51% black
owned

Level Two (125% B-BBEE procurement recognition)
Level Fou