Supporting Document Submission

By submitting these forms, I declare the following:

(a) I do not have applications pending for credit, nor open quotations as envisaged in section 92 of           the National Credit Act.

(b) I am not a minor.-

(c) A court has never declared me mentally unfit.

(d) I am not subject to an Administration Order.

(e) I do not have any current application pending for debt restructuring or alleviation.

(f) I don not have any current debt re-arrangement in existence.

(g) I have not previously applied for a debt re-arrangement.

(h) I am not under sequestration.

I understand that i will be liable for a monthly service fee.

I hereby consent to this Credit Provider making enquiries regarding my credit history with any credit bureau.

I consent to this Credit Provider reporting the conclusion of any credit agreement with me to the National Loans Register in compliance with this Credit Provider’s obligation under the National Credit Act.

I hereby declare the information provided by me is true and correct

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