Finance Application Form

1 . I confirm that:
a. I am not a minor.
b. I have never been declared mentally unfit by a South African court.
c. I am not subject to an administration order.
d. I do not have any current application pending for debt restructuring or alleviations.
e. I do not have any current debt rearrangement in place.
f. I have not previously applied for debt rearrangement.
g. I am not under sequestration.
h. I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act, 2005

3. I hereby declare that the above is true and correct.