Debt Review NCRDC183
|
|
- Amos Martin
- 5 years ago
- Views:
Transcription
1 Debt Review NCRDC183 APPLICATION BY CONSUMER FOR DEBT REVIEW IN TERMS OF SECTION 86 OF THE NATIONAL CREDIT ACT 34 OF 2005
2 Date No. of Applicants Ref No NCRDC183 Debt Counselor HILTON VAN AS APPLICATION BY CONSUMER FOR DEBT REVIEW IN TERMS OF SECTION 86 OF THE NATIONAL CREDIT ACT 34 OF 2005 Please note that: For the speedy process of you application it is very important that all latest documents is supplied. Expense account is completed truthfully. 1) On receipt of this application the Debt Counselor will advise all credit providers and all registered credit bureaus that you have applied for debt review. 2) 2) You will be listed with all registered credit bureaus that you have applied for debt review. 3) This form must be accompanied by a list of all credit providers as well as a copies of all documents requested. (a) Latest salary advices of both spouses (b) Copy of ID documents (c) List of essential monthly expenses (i.e.: Food, school fees, fuel...) (d) Latest statements of all creditors (i.e.: Bonds, vehicle, credit cards...) 4) Should any documents not be submitted within 10 days of the Application being received by the Debt Counselor, your application will not be accepted. GUIDELINES 1. WHEN CAN A CONSUMER EXIT DEBT REVIEW PROCESS? Section 71(2)(b)(i) of the Act initially made provision for consumers to only exit debt review through issuance of a clearance certificate after they have paid all their re-arranged debts in full. The effect of this provision is that in instances where a home loan formed part of the debt review application, consumers have to remain under debt review for the duration of the home loan term even after settling re-arranged short term debts. This provision will however change upon proclamation of the National Credit Amendment Act (NCAA) under section 71(1) as follows: 3 Guidelines for the Withdrawal from Debt Review (1) A Consumer whose debts have been re-arranged in terms of Part D of this Chapter must be issued with a Clearance Certificate by a Debt Counsellor within seven days after the Consumer has (a) Satisfied all the obligations under every credit agreement that was subject to that debt re-arrangement order or agreement in accordance with that order or arrangement; or (b) Demonstrated: (i) financial ability to satisfy the future obligations in terms of the re-arrangement order or agreement under- (aa) a mortgage agreement which secures a credit agreement for the
3 purchase or improvement of immovable property; or (bb) any long term agreement as may be prescribed; (ii) that there are no arrears on the re-arrangement contemplated in subparagraph (i); and (iii) that all obligations under every credit agreement included in the re-arrangement order or agreement other than those contemplated in subparagraph (i), have been settled in full. 2. CAN A DEBT COUNSELLOR TERMINATE OR WITHDRAW DEBT REVIEW PROCESS? NO. A debt counsellor does not have statutory powers to terminate or withdraw the debt review process. This means that a debt counsellor can no longer issue Form 17.4 and update DHS with status G (Voluntary withdrawal by consumer) or H (Withdrawal by a debt counsellor). There is however varied ways in which a consumer can be withdrawn from debt review which will be set out below. 3. CAN A CONSUMER WITHDRAW FROM DEBT REVIEW PROCESS ONCE A DEBT REVIEW COURT ORDER HAS BEEN OBTAINED? Once a debt review court order has been obtained a consumer cannot terminate or withdraw the debt review process, they can however approach the court to rescind the order or apply for an order which declares that the consumer is no longer over-indebted. Upon receipt of the order, a debt counsellor will notify the credit providers of the withdrawal by means of Form 17.W and update DHS with status G. 4. CAN A CONSUMER WITHDRAW OR TERMINATE DEBT REVIEW PROCESS PRIOR TO OBTAINING DEBT REVIEW COURT ORDER? Consumers can only withdraw or terminate the debt review process prior to declaration of over indebtedness as per section 86(7) of the Act and issuance of Form 17.2 subject to payment of debt counselling fees as per NCR Debt Counselling Fee Guidelines. If a determination is made and no court order is in place, the consumer will remain under debt review. A debt counsellor will notify the credit providers of the withdrawal by means of Form 17.W and update DHS with status G. Guidelines for the Withdrawal from Debt Review 5 5. CAN A DEBT COUNSELLOR SUSPEND HIS/HER SERVICE FROM A CONSUMER UNDER DEBT REVIEW PROCESS? 5.1 Where section 86(7) determination is made and the consumer is not co-operating Where a consumer is not co-operating with the debt counsellor (e.g. not providing relevant information or proof, non payment of debt counselling fees, etc) and a determination in terms of section 86(7) of the Act is made, a debt counsellor can suspend provision of his/her service to the consumer. Prior to suspension of the service, a debt counsellor will notify the consumer of the intended suspension of service, the consequences and allow the consumer 10 business days to remedy the situation. Debt counsellor to remain the debt counsellor on record for the consumer. The following information should be included in the notice of intended suspension to the consumer: I Notice of pending service suspension and the reasons thereof; ii. Consequences of non cooperation (e.g. risk of termination by credit providers, inability to apply for further credit, consumer is still under debt review, no withdrawal request to be processed, etc) ; iii. Option to remedy the situation within 10 working days; iv. If no response is received and the situation has
4 not changed, consumers and credit providers should be notified of the suspension of service by means of Form 17.W. 5.2 Where a consumer has elected to make direct payments to credit providers In terms of the NCAA, a consumer has a right to make direct payments to credit providers and not make use of the services of a Payment Distribution Agent (PDA). Election by consumers to make direct payments to credit providers cannot be construed as non co-operation and should not be used as a reason for suspension of debt counselling services. The following information relating to election to make direct payments should be included in the Form 16 signed by the consumer when they apply for debt review: i. Consumer remains responsible to make all payments as re-arranged, in full and on time. ii. Proof of payments must be sent to the debt counsellor on a monthly basis for record keeping and to enable provision of after care service as a consumer cannot be under debt review without a debt counsellor. Guidelines for the Withdrawal from Debt Review iii. Consequences of making short or late payments(e.g. risk of termination by credit providers) iv. Debt counselling fees are payable to a debt counsellor for services rendered and this includes payment of aftercare fees. v. For a debt counsellor to issue a clearance certificate, all after care fees must be up to date. Where the debt counsellor has suspended provision of service, a consumer must provide proof of settlement letters from credit providers for a debt counsellor to issue a clearance certificate. 6. CAN A CONSUMER BE TRANSFERRED TO ANOTHER DEBT COUNSELLOR? A consumer under debt review may be transferred to another debt counsellor subject to payment of all debt counselling fees where it has been established that the previous debt counsellor followed the correct process. Form 17.7 should be used to facilitate this process. Personal Details (First Applicant) Surname Initials Full Names Date of Birth / / I.D Tel (H) ( ) Cell Address Postal Code Code Personal Details (Spouse) Surname Initials Full Names Date of Birth / / I.D Tel (H) ( ) Cell Address Postal Code Code
5 Marital Status Community of Property Y N Contract Y N Single Y N Traditional Y N Divorced Y N Widowed Y N Date / / Dependants 1. Name Relationship 2. Name Relationship 3. Name Relationship 4. Name Relationship 5. Name Relationship Age Age Age Age Age Employment Details (First Applicant) Employers Name Postal Address Code Code Tel ( ) Fax ( ) Occupation Department Employee No Pay Date Employment Details (Spouse) Employers Name Postal Address Code Code Tel ( ) Fax ( ) Occupation Department Employee No Pay Date
6 Credit Agreements No Creditors Monthly Instalments Capital Outstanding Type of Debt Particulars Attached
7 Income and Expenditure 1 Income Client Spouse Gross 2 Deductions Description Amount Amount P.A.Y.E UIF Site Tax Pension Fund Insurance Insurance Medical Aid Garnishee Loan Other Other Other 3 Net Income Client Spouse
8 Essential Living Expenses 1 Expenditure Client Spouse Bank Charges Clothing Domestic/Cleaning Service Dstv Education Fees Food Funeral Cover Gardening Service Insurance Premium Insurance premiums Medical Aid Mobile Phone Municipal Rates and Taxes Petrol Property Rental Telephone and internet Transport Cost Vehicle Insurance Water and Lights
9 Detailed particulars for over indebtness.
10 DEBT COUNSELLING FEE STRUCTURES The Debt Counsellor may charge the following amounts in respect of Consumers with an individual gross income of more than R per month or a household income of more than R per month:- 1. An Application Fee, recoverable directly from the Consumer upon recieving an application for Debt Review, limited to the amount prescribed in terms of Schedule 2(2) of the NCA i.e. R A rejection fee of R (excl VAT) in respect of Consumers whose applications have been rejected in terms of S 86(7)(a) of the NCA. 3. A restructuring fee of the lesser of the first installment of the debt rearrangement plan or R (excl. VAT), in respect of a Consumer whose application has been accepted in terms of S 86(7)(b) or S 86(7)(c). This fee will be included in the restructuring process. An aftercare fee of 5% pm :(excl. VAT) on the monthly installment of the Debt Rearrangement Plan. up to a maximum of R : (excl. VAT) 4. Should the Consumer withdraw from the process after paying the restructuring fee, a fee equal to 75% of such fee is payable to the Debt Counsellor. 5. In order to obtain a consent order, an attorney must be appointed. Any legal fees payable for this process will be disclosed to the Consumer upfront and the Consumer will authorize these fees in by signing of this document. Court Application R Attorney s Fees R Kindly note that failure to make payments will result in your application being terminated in terms of Section 86 (10) of the National Credit Act and you will not be protected against your credit providers. SIGNED AT (PLACE) ON THIS DAYOF 20 APPLICANT ID DEBT COUNSELLOR/CONSULTANT Hilton Van As (NCRDC183)
11 DECLARATION BY THE CONSUMER I declare as follows: 1. I undertake to comply with all requests from the debt counselor to assist him/her to evaluate my state of indebtness and the prospects for responsible restructuring. 2. I hereby consent to the submission of my information to all registered credit bureaus by the debt counselor. 3. I also consent that the debt counselor may obtain my credit record from any/all registered credit bureaus and any other registers which may contain any of my credit information. 4. I undertake not to enter into any further credit agreements, other than a consolidated agreement, with any credit provider until one of the following events has occurred: a. The debt counselor rejects my application b. The court determines that I am not over-indebted, or c. All my obligations under credit agreements as re-arranged are fulfilled. 5. I confirm that the information contained in this document is, to the best of my knowledge, true and correct. Signed(place) on this(day) of(month)...20 Signature Signature
12 Power of Attorney I, THE UNDERSIGNED, DECLARE AS FOLLOWS: 1. I undertake to comply with all the requests from the Debt Counsellor to assist him/her to evaluate my state of indebtedness and the prospects for responsible debt restructuring; 2. I hereby consent to the submission of my information to all registered credit bureaux by the Debt Counsellor; 3. I also consent that the Debt Counsellor may obtain my credit records from any/all registered credit bureaux and any other registers which may contain any of my credit information; 4. I undertake not to enter into any further credit agreements, other than a consolidated agreement, with any credit provider until one of the following events has occured: a. The Debt Counsellor rejects my application; b. The court determines that I am not over-indebted; or c. All my obligations under credit agreements as re-arranged are fulfilled.; 5. The Debt Counselling process was explained to me and I have read and understood the Debt Counselling Process; 6. Debt Counselling Fees and Legal Fees applicable are set out in the Fee Guidelines, I understand and accept these fees. I shall accept any additional fees 7. I understand that I MUST NOT SIGN ANY DOCUMENTS whatsoever which I receive from any credit provider and shall make no promises, either verbally or in writing, to any credit provider and understand that ANY payment to a credit provider will be done through the NPDA by arrangement with the Debt Counsellor; 8. If I lodge a complaint of reckless lending, I confirm that the information I gave to the credit provider on the application for credit was true and correct; 9. If I have any additional money that I want to pay towards my debt, I will arrange with the Debt Counsellor for the payment to be made through the NPDA, so records and interest can be adjusted by them; 10. I confirm that the information contained in this document is, to the best of my knowledge, true and correct. 11. I indemnify all employees and nominees of Debt -911 against any claim that may be instituted against it or them arising from any act or omission by such person appointed by Debt -911 or it's nominee in the lawful execution of the terms and conditions of this agreement/power of Attorney entered into with myself, and confirm that Debt-911 shall not be liable for any damages suffered by me resulting from any act or omission of whatsoever nature, however arising. 12. I hereby acknowledge that all lawful actions taken by Debt-911 under its powers under this Power of Attorney are tacitly ratified by me, and I will be bound by such agreements as principal debtor. SIGNED AT (PLACE) ON THIS DAY OF 20 APPLICANT ID: SPOUSE/PARTNER ID:
13
14 Power of Attorney By this Power of Attorney I the undersigned,, an adult female/male currently residing at hereby appoint Hilton Robert Van As NCRDC183 of Debt-911 which has its principal place of business at 19 A Geringer Street Del Judor Witbank 1035 ( the Debt Counsellor ), to be my true and lawful agent and I expressly grant the Debt Counsellor full power and authority to, on my behalf: 1. cancel any debit orders; and/or 2. stop payments of any debit orders, in order to facilitate the debt review in terms of section 86 of the National Credit Act, 34 of Signed at...on this... day of Witness 1: Witness 1: Signature Customer: Signature... Witness 2: Full Name... Witness 2: Signature
15 Signed at...on this... day of Witness 1: Full Name Hilton Robert Van As NCRDC Witness 1: Signature Debt Counsellor: Signature... Witness 2: Full Name... Witness 2: Signature
APPLICATION BY CONSUMER FOR DEBT REVIEW In terms of section 86 of the National Credit Act 34 of 2005
APPLICATION BY CONSUMER FOR DEBT REVIEW In terms of section 86 of the National Credit Act 34 of 2005 PLEASE NOTE THAT: 1. On receipt of this application the debt counsellor will advise all credit providers
More informationPlease follow instruction and sign this page also. Make sure to post the original copy to P.O.Box 569, Vereeniging.
To whom it may concern Please follow instruction and sign this page also. Make sure to post the original copy to P.O.Box 569, Vereeniging. Complete all pages, except page 6 and 7. Keep pages with CLIENT
More informationI,, ID number and (spouse if. applicable), ID number hereby. acknowledge that I/we am/are currently unable to meet my/our monthly commitments towards
POWER OF ATTORNEY Part 1 - Power of Attorney Allocation Details: Debt Counsellor Trading Name: Debt Inc Debt Counsellor Contact Person: NCR Reference No: NCRDC Business Registration No: 2010/003722/07
More informationFORM 16 - APPLICATION FOR DEBT REVIEW in terms of S 86 OF THE NATIONAL CREDIT ACT, 34 of 2005
Cell: 082 776 9280 * Fax: 086 508 5444 * Email: dc@zunecoetzer.co.za * Web: www.zunecoetzer.co.za FB: @zunedebtcounsellor * Skype: zune.coetzer * PO Box 42669, Heuwelsig, 9332 *NCRDC1599 FORM 16 - APPLICATION
More informationsave money solutions
save money solutions DEBT COUNSELLO INFOMATION eg No. 2017/322056/07 C/o Aden Avenue & Beverley Street Athlone 7764 Tel: 087 820 6989 email:info@savemoneysa.co.za FOM 16 - APPLICATION BY CONSUME FO DEBT
More informationApplication Form. Debt Review. We have started new beginnings for more than South Africans and your new beginning starts here.
Debt Review Application Form We have started new beginnings for more than 25 000 South Africans and your new beginning starts here. So well done for doing that and welcome to DebtSafe. Here s a quick reminder
More informationBOND APPLICATION FORM
BOND APPLICATION FORM The following documents must be submitted together with this application: Note: In all of the below situations it is required a copy of the ID document / valid Passports of the all
More informationCertified copy of South African green bar-coded ID/new smart card ID or valid passport, with visible photograph and legible text.
HOLLARD RETIREMENT ANNUITY PLAN APPLICATION FORM 1. Important Information 1.1. Please complete this application form if you would like to become a Member of the Hollard Retirement Annuity Fund. 1.2. Hollard
More informationLIVING ANNUITY POLICY Application Form
LIVING ANNUITY POLICY Application Form IMPORTANT INFORMATION Before investing, please read the Terms and Conditions of the Policy carefully to decide if the product meets your financial needs. Consider
More informationForm16 We will waive our registration fee, to help you. Complete ALL sections in full and provide requested docs, as soon as possible.
APPLICATION 1 Form16 We will waive our registration fee, to help you. Complete ALL sections in full and provide requested docs, as soon as possible. APPLICATION BY CONSUMER FOR DEBT REVIEW In terms of
More informationCertified copy of South African green bar-coded ID/new smart card ID or valid passport, with visible photograph and legible text.
HOLLARD LIVING ANNUITY - INVESTMENT APPLICATION 1. Important Information 1.1. The Hollard Living Annuity is underwritten by Hollard Life Assurance Company Limited. 1.2. Hollard Investments is a division
More informationLOAN APPLICATION AND AGREEMENT FORM PART A PERSONAL DETAILS. Full names (as per ID) Mrs. Miss M/s. Surname First name Middle name
LOAN APPLICATION AND AGREEMENT FORM PART A PERSONAL DETAILS Full names (as per ID) Mr. C Mrs. Miss M/s Surname First name Middle name Identification document(s) Passport no. ID No. ( Attach photo copies
More informationENDOWMENT TAX-FREE SAVINGS ACCOUNT Application Form
ENDOWMENT TAX-FREE SAVINGS ACCOUNT Application Form IMPORTANT INFORMATION Before investing, read the Terms and Conditions of the Policy carefully to decide if the product meets your financial needs. Consider
More informationCertified copy of South African green bar-coded ID/new smart card ID or valid passport, with visible photograph and legible text.
HOLLARD LIVING ANNUITY - INVESTMENT APPLICATION 1. Important Information 1.1. The Hollard Living Annuity is underwritten by Hollard Life Assurance Company Limited. 1.2. Hollard Investments is a division
More informationRENTAL APPLICATION FEE
RENTAL APPLICATION FEE Bank Details: Account Name: Bank: Valumax Property Management ABSA Branch Code: 632005 Account Number: 4 090 706 606 Reference Number: (ID number) for individual (Company registration
More informationApplications Form for Individuals
Capital Auto World Finance Cell: 067 035 2956 Mail: sales9@cawgroup.co.za Applications Form for Individuals Individual Applicant Sole Proprietor Surety/Co-Debtor New Used Personal Loan Transaction Details
More informationFNB Investments Tax Free Savings Account Application
FNB Investments Tax Free Savings Account Application Instructions 1. This application and supporting documentation must be emailed to or fax it to 0860 762 468. 2. Please complete all relevant sections
More informationHOLLARD RETIREMENT PRODUCTS CHANGE OF DETAILS INSTRUCTION 1. Important Information
HOLLARD RETIREMENT PRODUCTS CHANGE OF DETAILS INSTRUCTION 1. Important Information 1.1. This change of details form is applicable to the Hollard Living Annuity, Hollard Preservation Plans and Hollard Retirement
More informationNCR TASK TEAM. NCR Task Team Practical Guidelines for Debt Counsellors
NCR TASK TEAM NCR Task Team Practical Guidelines for Debt Counsellors Compiled and Issued by DCASA on 17 August 2016 NCR Task Team Guidelines Training The purpose of the NCR Task Team Guideline Training
More informationHOLLARD LINKED ENDOWMENT INVESTMENT APPLICATION FOR NATURAL PERSON INVESTORS 1. Important Information
HOLLARD LINKED ENDOWMENT INVESTMENT APPLICATION FOR NATURAL PERSON INVESTORS 1. Important Information 1.1. Hollard Investments is a division of Hollard Life Assurance Company Limited and Hollard Investment
More informationUNIT TRUST APPLICATION FORM DIRECT INVESTMENTS: INDIVIDUALS
UNIT TRUST APPLICATION FORM DIRECT INVESTMENTS: INDIVIDUALS 1st Floor, 30 Melrose Boulevard, Melrose Arch, Johannesburg, South Africa, 2076 t: + 27 11 684 2681 Boutique Collective Investments (RF) (Pty)
More informationDebt Review Information Pack
Debt Review Information Pack First National Bank - a division of FirstRand Bank Limited. An Authorised Financial Services and Credit Provider (NCRCP20). it sssssssssss Introduction The Debt Review Process
More informationRETIREMENT ANNUITY FUND Application Form
RETIREMENT ANNUITY FUND Application Form IMPORTANT INFORMATION Before investing, read the Terms and Conditions of the Fund carefully to decide if the product meets your financial needs. Consider getting
More informationClassic Investment Plan
STANLIB Wealth Management Limited Registration number 1996/005412/06 Authorised Administrative FSP in terms of the FAIS Act, 2002 (FSP No. 26/10/590) 17 Melrose Boulevard Melrose Arch 2196 P O Box 202
More informationTax-free Savings Application
Tax-free Savings Application Wealthport (Pty) Ltd (2012/025878/07) Wealthport (Pty) Ltd ( Wealthport ) is an Authorised Financial Services Provider (FSP No. 44158) Ballyoaks Office Park, 35 Ballyclare
More informationAPPLICATION REQUIREMENTS (Please note: Only fully completed applications will be considered.)
APPLICATION REQUIREMENTS (Please note: Only fully completed applications will be considered.) A copy of your ID and driver s licence (enlarged) must be attached. (Photocopy the ID and driver s licence
More informationApplication Form etfsa Living Annuity
Application Form etfsa Living Annuity How to Invest 1. Read the Terms and Conditions of this Policy (attached hereto). 2. Access the Investment Product Range and make an informed decision on which portfolio
More informationCashline Revolving Loan Application Form
Page 1 of 7 For Bank Use Only Br CA 09RL054 (Cashline) PR P0045A (Cashline) Applicant Information Home Tel. No. (obile Phone & Pager No. are not accepted) A/C Off code E RE obile Phone*/Pager No. To: DBS
More informationCONTRACT FOR FINANCIAL FUNDING SERVICES
CONTRACT FOR FINANCIAL FUNDING SERVICES THIS CONTRACT FOR FINANCIAL FUNDING SERVICES (the Agreement ) is made and entered this (the Effective Date ), Jabre Capital Team Partner (Partner) by and between
More informationENDOWMENT POLICY Application Form for Individual Investors
ENDOWMENT POLICY Application Form for Individual Investors IMPORTANT INFORMATION Before investing, read the Terms and Conditions of the Policy carefully to decide if the product meets your financial needs.
More informationRegistration of debt counsellors
Registration of debt counsellors 44. (1) A natural person may apply to be registered as a debt counsellor. (2) A person must not offer or engage in the services of a debt counsellor in terms of 25 this
More informationFRANCHISE APPLICATION
FANCHISE APPLICATION SECTION B PESONAL APPLICATION 1. Personal Details To be completed by each Shareholder / Member & Surety if such Surety is not a Shareholder Surname Title First names Town & country
More informationINTERMEDIARY AGREEMENT. between. Universal Healthcare Services (Pty) Ltd (Reg. No: 2008/005871/07) and. Reg. Number / Identity Number:
INTERMEDIARY AGREEMENT between Universal Healthcare Services (Pty) Ltd (Reg. No: 2008/005871/07) and Reg. Number / Identity Number: For office use only Date processed by Universal Healthcare Services:...
More informationFrom: Subject:
IFC! Independent Financial Consultants!! Fax To: Independent Financial Consultants Att: Iracema Fonseca Fax to email: (086) 586-4165 Fax land: (021) 593-3135 : (084) 334-4848 (W) (021) 593-3012 From: Subject:
More informationHome Loan Interview Form
Legal Entity Details Company o of stakeholders eg umber Date of registration Is sole purpose of legal entity to purchase property? es o ature of Business Loan Details Amount of Loan/Further Loan equired
More informationTUITION FEE LOAN APPLICATION FORM
TUITION FEE LOAN APPLICATION FORM INFORMATION 1. All students who are enrolled with the National University of Singapore ( NUS ) in undergraduate courses of study, iblocs (for Returning NSmen only), graduate
More informationetfsa RETIREMENT ANNUITY FUND APPLICATION FORM
etfsa RETIREMENT ANNUITY FUND APPLICATION FORM The application form must please be completed in full in block letters and sent, together with the required FICA documentation, to etfsa.co.za at the following
More informationAPPOINTMENT AS TAX CONSULTANTS TO:
APPOINTMENT AS TAX CONSULTANTS TO: Name: Identity Number: Tax Number: SIR / MADAM We hereby wish to confirm our appointment by you, as tax consultants and financial advisors. The terms and conditions of
More informationAPPLICATION FOR ADMISSION PLEASE COMPLETE ALL SECTIONS BELOW: (PLEASE PRINT CLEARLY) Application fee R300 (Banking details below)
SECTION A Registration Reference No: (Office use only) PERSONAL DETAILS APPLICATION FOR ADMISSION PLEASE COMPLETE ALL SECTIONS BELOW: (PLEASE PRINT CLEARLY) Application fee R300 (Banking details below)
More informationPlease complete all fields to avoid delays in processing your investment.
APPLIATION PROESS STEP 1: Understanding your Investment Before you invest: The Bridge Retirement Annuity is only accessible to Financial Advisors contracted with Bridge Fund Managers, and that have used
More informationPostal Code If the same as above, please check this box
Catnia Building, Bella Rosa Village, Bella Rosa Street, Bellville, 7530 Get in touch: t: 27 21 007 1500/1/2 27 21 914 1880 f: 086 502 5319 www.bcis.co.za Submit query: clientservices@bcis.co.za Submit
More informationAPPLICATION FOR ADMISSION PLEASE COMPLETE ALL SECTIONS BELOW: (PLEASE PRINT CLEARLY) Application fee R300/BPsych R600 (Banking details below)
SECTION A Registration Reference No: (Office use only) PERSONAL DETAILS APPLICATION FOR ADMISSION PLEASE COMPLETE ALL SECTIONS BELOW: (PLEASE PRINT CLEARLY) Application fee R300/BPsych R600 (Banking details
More informationTO ALL CREDITORS IMPORTANT
TO ALL CREDITORS IMPORTANT Kindly comply with the following requirements, when completing claim forms. 1. The affidavit for proof of claims must be completed in every detail and must be signed before a
More informationAPPLICATION FOR ADMISSION
APPLICATION FOR ADMISSION PLEASE COMPLETE ALL SECTIONS BELOW: (PLEASE PRINT CLEARLY) Application fee R300/BPsych R500 (Banking details below) SECTION A Registration Reference No: (Office use only) Date
More informationNB: INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED
Dunkeld Road, Camps Bay, 8005 PO Box 32477, Camps Bay, 8040 Tel: 021 438 1503 Fax: 021 438 5651 Email: pa@campsbayprimary.co.za www.campsbayschools.co.za APPLICATION FOR ADMISSION NB: INCOMPLETE APPLICATIONS
More informationPersonal Account Application Form Sole Current, Demand Deposit and CustomSaver Account
Personal Account Application Form Sole Current, Demand Deposit and CustomSaver Account Please select required accounts: NSC 9 0 Purpose of A/c (Mandatory: Box must show an understanding of purpose and
More informationFNB CONNECT ULTIMATE VOICE TERMS AND CONDITIONS Date of forth Publication: 13 August 2017
FNB CONNECT ULTIMATE VOICE TERMS AND CONDITIONS Date of forth Publication: 13 August 2017 These Terms and Conditions will apply to you if you take up the FNB Connect Ultimate package (Ultimate package)
More information2017 Financial Need Bursary Application Form
2017 Financial Need Bursary Application Form. Name of Applicant 1 P a g e B u r s a r y A p p l i c a t i o n F o r m F i n a n c i a l N e e d U p d a t e d 2 0 1 7 Dear Applicant We have received your
More informationHEDGE FUND TRANSFER OF OWNERSHIP Monthly Liquidity
HEDGE FUND TRANSFER OF OWNERSHIP Monthly Liquidity SANNE Management Company (RF) Proprietary Limited ( SANNE ) is approved as a manager in terms of the Collective Investment Schemes Control Act 45 of 2002
More informationPersonal Instalment Loan Application Form
Page 1 of 5 For Bank Use Only Br CA 12PL001 PR PL15034 Applicant Information A/C Off code Home Tel. No. obile Phone & Pager No. are not accepted E INT RE To: DBS Bank Hong Kong Limited the Bank Please
More informationSource of income /funds Salary Allowances Pension Others... CLIENT SPOUSE INFORMATION Name Occupation: A/C No:... Name of Bank Branch:.
Quick Fix Loan Application/ Account Opening Form This Section To be Completed by WWBG staff WWBG Branch: Type of Client: Loan Cycle: Account Type Date: New Repeat Savings Current.../.../... 1. PERSONAL
More informationSTOCKBROKING COMPANY MARGIN LENDING LINKED ACCOUNT application form
STOCKBROKING COMPANY MARGIN LENDING LINKED ACCOUNT application form Please only use this form when you wish: to open a trading account in a company name, and to settle trades through a Margin Lender In
More informationUNIT TRUST ADDITIONAL APPLICATION FORM
UNIT TRUST ADDITIONAL APPLICATION FORM HOW TO INVEST 1. Please send the completed Application Form, together with the required supporting FICA documentation and proof of payment to Prescient at fax number+27
More informationUNIT TRUST ADDITIONAL APPLICATION FORM
UNIT TRUST ADDITIONAL APPLICATION FORM HOW TO INVEST 1. Please send the completed Application Form, together with the required supporting FICA documentation and proof of payment to Long Beach Capital at
More informationIP Collective Investments Application Form
IP Collective Investments Application Form To enable IP Management Company (RF) Pty Ltd (IP) to process this application form, please ensure that all sections are completed in full using BLOCK LETTERS
More informationReference. Complex. Received by. MSUNDUZI HOUSING ASSOCIATION NPC Quality, Affordable Rental Accommodation
FOR OFFICE USE ONLY Date Received Reference Complex Received by MSUNDUZI HOUSING ASSOCIATION NPC Quality, Affordable Rental Accommodation 41 Peter Kerchhoff Street, Pietermaritzburg, 3201 Tel: 033-3452184/7
More informationGCB Link2Home Account
GCB Link2Home Account Account Opening Form (Individual) Account Name Account No. Personal Banker Customer IC D D M M Y Y Y Y GCB/ILKHAF/2014/021 Account Opening Requirements One (1) passport-sized photograph
More informationENDOWMENT APPLICATION
ENDOWMENT APPLICATION Instructions 1. This application and supporting documentation must be emailed to instruct@ashburtoninvest.co.za. 2. Please complete all relevant sections of this application in order
More informationApplication for. Admission. to the. Deutsche Schule Pretoria
Application for Admission to the Deutsche Schule Pretoria 1 ANNEXURE A1: DETAILS OF THE CHILD Personal particulars of the child: Surname : Christian names (all) : Date of Birth : Place of Birth : Nationality
More informationDirect Investments: Registered CIS Application Form
INDIVIDUAL INVESTORS - UNIT TRUST INVESTMENT APPLICATION IMPORTANT INFORMATION 1. Please complete this form if you are applying on behalf of a Unit Trust Fund wishing to invest in BCI unit trusts only.
More informationAPPLICATION FORM. Please indicate with an X which group you are applying for: Toddler Class (18 months 3 years) 3 6 Class (3 to 6-year olds)
APPLICATION FORM Please indicate with an X which group you are applying for: Toddler Class (18 months 3 years) 3 6 Class (3 to 6-year olds) Anticipated starting date: YOUR CHILD s DETAILS: Surname First
More informationAPPLICATION FOR A HOME LOAN FOR PRIVATE INDIVIDUALS
APPLICATION FOR A HOME LOAN FOR PRIVATE INDIVIDUALS Tick ( ) applicable block(s) and complete where necessary Indicate: New Loan Pre Approval Take Over FOR BANK USE ONLY: COMPULSORY APPLICATION REFERENCE
More informationPRESERVATION FUND Application Form
PRESERVATION FUND Application Form IMPORTANT INFORMATION Before investing, read the Terms and Conditions of the Fund carefully to decide if the product meets your financial needs. Consider getting financial
More informationLOAN APPLICATION AND AGREEMENT FORM (Revised May, 2017)
LOAN APPLICATION AND AGREEMENT FORM (Revised May, 2017) CHECK LIST: COLLATERAL CHECK LIST Original duly filled Loan form Loanee signature Pg 3 & 5 Original Log book/title Copy of ID attached Witness signature
More informationDate application is returned FOR OFFICE USE ONLY 20 / / 20 / / Linpark High School. Tel (033) / P O Box Grade of Entry LURITZ NO
Date application is given out FOR OFFICE USE ONLY Linpark High School Date application is returned FOR OFFICE USE ONLY 20 / / 20 / / Tel (033) 3441544/3441545 P O Box 21477 Fax (033) 3442219 Mayors Walk
More informationApplication for Deferred Pension Benefit
Page 1 of 6 1. This original application form must be completed, signed and forwarded to the Eskom Pension and Provident Fund, Private Bag 50 Bryanston, 2021 two months prior to retire, together with original
More informationSatrix Retirement Plan Application Form
Satrix Retirement Plan Application Form About the structure of this product Satrix Managers RF (Pty) Ltd provides an investment management solution within the Satrix Retirement Plan. This is offered under
More informationParliament of the Republic of South Africa/ Parlement van die Republiek van Suid-Afrika PARLIAMENT OF THE REPUBLIC OF SOUTH AFRICA NOTICE 922 OF 2017
Parliament of the Republic of South Africa/ Parlement van die Republiek van Suid-Afrika 922 National Credit Amendment Bill, 2018: Portfolio Committee on Trade and Industry publishes the Draft National
More informationKauai Application for Franchise
Kauai Application for Franchise Personal details Title Surname First Names Initials RSA Citizen Yes No If no, Permanent Resident Yes No Nationality ID Type RSA ID Passport Date of Birth Gender Male Female
More informationmaxima APPLICATION FORM
maxima APPLICATION FORM Broker House: Aon South Africa (Pty) Ltd Tel : 0860 835 2727 Broker Code: AON001M16 SECTION 1 CHOICE OF OPTION Choose ONE product option by placing x in the appropriate box MAXIMA
More informationGERMANI TRANSPORT (PTY) LTD T/A GG HEAVY HAULAGE REG NR: 2004/013307/07
GERMANI TRANSPORT (PTY) LTD T/A GG HEAVY HAULAGE REG NR: 2004/013307/07 P.O. Box / Posbus 265 TEL NR: 021 854 6199 GORDONS BAY/ BAAI FAX NR: 086 584 7098 CREDIT APPLICATION, INFORMATION STATEMENT AND AGREEMENT
More informationLOMPEC PRE SCHOOL ( LOMPEC EDUCATION CENTRE ) ( ASSOCIATION INCORPORATED UNDER SECTION 21 ) Ledwaba Street P. O. Box 77139
Reg No.2008/010115/08 LOMPEC PRE SCHOOL ( LOMPEC EDUCATION CENTRE ) ( ASSOCIATION INCORPORATED UNDER SECTION 21 ) 10935 Ledwaba Street P. O. Box 77139 P.O. Rethabile Mamelodi Mamelodi East 0101 0122 TEL
More informationANGLORAND SECURITIES LIMITED ( ARS ) CONSOLIDATED MANDATE
ANGLORAND SECURITIES LIMITED ( ARS ) CONSOLIDATED MANDATE 1 SECTION 1: CLIENT DETAIL 1.1 Client Name: the client 1.2 ID Number/Registration number: 1.3 Distribution of contract notes and statement: Please
More informationGinsGlobal Index Funds (Mauritus) Ltd. Application Form. Index Products
. GINSGLOBAL GinsGlobal Index Funds (Mauritus) Ltd. INDEX FUNDS Application Form Index Products GinsGlobal Index Funds (Mauritius) Limited Index Investor Please fax/e-mail application form to: GinsGlobal
More informationTUITION FEE LOAN APPLICATION FORM (FULL-TIME UNDERGRADUATE STUDENTS)
TUITION FEE LOAN APPLICATION FORM (FULL-TIME UNDERGRADUATE STUDENTS) INSTRUCTIONS 1. All Singapore Citizens (SC) or Singapore Permanent Residents (PR) who are receiving MOE fee subsidy for their fulltime
More informationLoan Agreement Pre-Agreement Statement and General Terms & Conditions in terms of section 92 of the National Credit Act No 34 of 2005
Definitions Loan Agreement Pre-Agreement Statement and General Terms & Conditions in terms of section 92 of the National Credit Act No 34 of 2005 In this Agreement the following words have the meanings
More informationStandard Credit Package Attn: Brenda Koch Ph.:
Standard Credit Package Attn: Brenda Koch Ph.: 281.597.5479 In order to expedite your request, please include the following: 1. A completed and signed credit application. If you have your credit information
More informationPayment Plan Fee Agreement / Bill Authorization
University of Wisconsin-Eau Claire Payment Plan Fee Agreement / E-mail Bill Authorization Effective: 09/20/2016 STUDENT NAME: BLUGOLD ID: I. GENERAL ENROLLMENT REQUIREMENTS: A. Payment of Educational Expenses:
More informationAccount / Client Information Update Form
Account / Client Information Update Form Universal Client Number Assigned CUF082018 This form is to be used to make updates to Account and/or Client Information for JMMB Group clients. A separate form
More informationHEDGE FUND INVESTMENT SWITCH Monthly Liquidity
HEDGE FUND INVESTMENT SWITCH Monthly Liquidity SANNE Management Company (RF) Proprietary Limited ( SANNE ) is approved as a manager in terms of the Collective Investment Schemes Control Act 45 of 2002
More information(6 May 2016 to date) NATIONAL CREDIT ACT 34 OF (Gazette No , Notice No. 230 See Act for Commencement dates)
(6 May 2016 to date) NATIONAL CREDIT ACT 34 OF 2005 (Gazette No. 28619, Notice No. 230 See Act for Commencement dates) REGULATIONS MADE IN TERMS OF THE NATIONAL CREDIT ACT, 2005 (ACT NO. 34 of 2005) Published
More informationJOINT ACCOUNT APPLICATION FORM
welcome to smooth banking. JOINT ACCOUNT APPLICATION FORM (PLEASE FILL DETAILS IN CAPITAL LETTERS) New Account KYC Update JOINT DETAILS Name of Partnership PRIMARY CONTACT DETAILS Mobile MEMBER 1 Title
More informationDiscretionary Investment Application
Discretionary Investment Application Wealthport (Pty) Ltd (2012/025878/07) Wealthport (Pty) Ltd ( Wealthport ) is an Authorised Financial Services Provider (FSP No. 44158) Ballyoaks Office Park, 35 Ballyclare
More informationSasfin Securities PO Box Menlo Park Tel: (012) Fax: (012)
Sasfin Securities PO Box 36002 Menlo Park 0102 Tel: (012) 425 6000 Fax: (012) 425 6060 APPLICATION FORM Current account number (if any) For office use CT: A. General Investment Procedures: You are referred
More informationUniversity of Wisconsin Green Bay Terms and Conditions for Enrollment Payment Agreement
University of Wisconsin Green Bay Terms and Conditions for Enrollment Payment Agreement I. GENERAL ENROLLMENT REQUIREMENTS: A. Payment of Educational Expenses: In order to enroll as a student and register
More informationStockbroking COMPANY ACCOUNT application form
Promo Code: FB2014 Stockbroking COMPANY ACCOUNT application form Please only use this form when you wish to open a trading account: in a Company Name In order to process your application we will need:
More informationADMISSION FORM. Surname: Name: Gender: Grade: Date of birth: Surname: Surname: Name: Name: ID number: ID number: Profession: Profession:
ADMISSION FORM LEARNER Surname: Name: Gender: Grade: Date of birth: PARENTS/GUARDIANS FATHER MOTHER Surname: Surname: Name: Name: ID number: ID number: Profession: Profession: Tel. no: (W) Tel. no: (W)
More information*BROKER AGREEMENT BETWEEN S.A. UNDERWRITING AGENCIES (PTY) LTD
*BROKER AGREEMENT BETWEEN S.A. UNDERWRITING AGENCIES (PTY) LTD REGISTRATION NUMBER: 92/03324/07 FSP license number: FSP281 (Hereinafter referred as the SAU ) and.. (The Broker) (Hereinafter referred to
More informationhereby apply to rent residential property ( the Premises ) from the Owner/Landlord.
ENTAL APPLICATION FOM FO ESIDENTIAL PEMISES Applicant hereby apply to rent residential property ( the Premises ) from the Owner/Landlord. Premises COST OF APPLICATION I/We hereby tender and agree to pay
More informationProfessional Development Loan Application Form
ACCESS Community Capital Fund ( ACCESS ) is a registered charity that helps people facing financial barriers in the Greater Toronto Area and Hamilton get a low-interest loan from banks for professional
More informationTAX FREE SAVINGS ACCOUNT APPLICATION FORM
TAX FREE SAVINGS ACCOUNT APPLICATION FORM To enable IP Management Company (RF) Pty Ltd (IP) to process this application form, please ensure that all sections are completed in full using BLOCK LETTERS and
More informationSolar Revolving Fund. Credit Application & Agreements
Financing solutions for Renewable Energy Technologies Solar Revolving Fund Ministry of Mines and Energy, 1 Aviation Road, Private Bag 13297, Windhoek, Tel: 061 2848111, Fax: 061 2848173, Email: srf @ mme.gov.na
More information(Applicant Name and Address) APPLICATION FOR A PERSONAL LOAN. ( Ghana Cedis) for the. against my account number
Bank Limited GCB DATE: FROM: (Applicant Name and Address) TEL: TO: THE MANAGER GCB BANK LTD DEAR SIR/MADAM I wish to apply for personal loan of GH APPLICATION FOR A PERSONAL LOAN ( Ghana Cedis) for the
More informationCOLLECTIVE INVESTMENT SCHEMES (HEDGE UNIT TRUSTS)
COLLECTIVE INVESTENT SCHEES (HEGE UNIT TRUSTS) Investment Application for Legal Entities STEP 1: Understanding your investment Before you invest: Read the Hedge Unit Trust Information ocument to ensure
More informationAPPLICATION FOR TAX-FREE INVESTMENT
APPLICATION FOR TAX-FREE INVESTMENT 1. INVESTOR DETAILS: Title s Surname Full name/name of institution ID number/registration number Income tax number (Attach a copy of the ID/company registration document)
More informationNumber: Hearing. Communicating
APPLICATION FOR ADMISSION PLEASE COMPLETE ALL SECTIONS BELOW: (PLEASE PRINT CLEARLY) Application fees: R350 for Paper applications (Higher Certificate, Diploma, Advanced Certificate, BAppSocSci, Honours,
More informationHerewith please find a copy of our credit application as requested by you.
Dear Customer RE: CREDIT APPLICATION Herewith please find a copy of our credit application as requested by you. Please Note: The following requirements are needed before an account can be opened. 1. Original
More informationmaxima APPLICATION FORM
maxima APPLICATION FORM SECTION 1 CHOICE OF OPTION Choose ONE product option by placing x in the appropriate box Comprehensive Options Saver Options Hospital Plans MAXIMA PLUS MAXIMA EXEC MAXIMA STANDARD
More informationmaxima APPLICATION FORM
maxima APPLICATION FORM SECTION 1 CHOICE OF OPTION Choose ONE product option by placing x in the appropriate box Comprehensive Options Saver Options Hospital Plans MAXIMA PLUS MAXIMA EXEC MAXIMA STANDARD
More informationSUPPLIER REGISTRATION FORM
SUPPLIER REGISTRATION FORM SUPPLIER NAME NEW APPLICATION YES NO UPDATED APPLICATION YES NO Contact person at your company Position Telephone number Cell phone number Fax number Email Signature Indicate
More information