Business Rescue Proceedings of Wescoal Mining Proprietary Limited (“Wescoal”)

In order for the business rescue practitioners to ensure that your claim is captured correctly and reconciled to Wescoal’s ledger, all affected persons are required to complete the online Claim Form, found below.

Please can you uploaded all necessary documents required in order to provide your claim, including where appropriate, statements of account, invoices, agreements, proof of delivery notes and proof of bank statements.

A manual claim form is available for those affected persons who experience difficulties submitting their claim form online.

For any queries relating to your pre-commencement claim, please contact wescoal@claimform.co.za

1. Details of Claim
Name of Creditor*
Company Registration Number*
Supplier Code / Vendor Number (if applicable)
Representative of Creditor*
First Last Position / Designation at Company
Phone Number*
Email Address*
Claim Amount as at the date of Business Rescue Proceedings (i.e. at 25 August 2023)*
Cause of Indebtedness*
- Goods Sold and Delivered
- Services Rendered
- Loan
- Other
Security for Indebtedness*
2. Bank Details of Claimant
Bank Name*
Account Holder*
Account Number*
Branch Code*
Account Type*
File*
Please Upload Proof of Bank Details. This is required before any Payments can be made.
Drop files here or
3. Upload Relevant Supporting Documentation
Claim Supporting Documentation*
Drop files here or
Claim Supporting Documentation
Drop files here or
*
I hereby declare and confirm that I am duly authorised to represent the creditor and that the details submitted in terms of the creditor’s claim are true and correct.
- I agree

Business Rescue Proceedings of Wescoal Mining Proprietary Limited (“Wescoal”)

1. Details of Claim

2. Bank Details of Claimant

3. Upload Relevant Supporting Documentation