LOAN AGAINST SECURITY OF INVESTMENT APPLICATION FORM APPLICANT TYPE

Transcription

1 pplication No. PPLINT TYPE pplication OMPLETE SETIONS: Individual: South frican itizen / esident B D E oreign National B D E Juristic / Other Entities: South frican ompany South frican losed orporation oreign ompany Trust Partnership Other Entity, e.g. lub, ssociation, Body orporate, Sole Proprietary o-pplicant: If there is a o-pplicant(s) (including Spouse) on this application, please complete the following sections: B D E Individual (ll Types): Juristic / Other Entities (ll Types): SETION : PPLITION DETILS Do you already have an existing loan account(s) with BS? If YES, please confirm existing loan details: Y N EXISTIN LON DETILS 1. ccount No.: emaining Loan Value: Loan Interest ate: 2. ccount No.: emaining Loan Value: Loan Interest ate: 3. ccount No.: emaining Loan Value: Loan Interest ate: Page 1 of 13

2 SETION B: PIMY PPLINT INDIVIDUL s you already have a relationship with BS Mutual Bank, please provide the bank with: Your ustomer Information ile (I) number (if you do not have this, please ask and the bank will locate this for you) I No. ull Name: ND Only the information that has changed in the past 12 months (if relevant) in the form below PESONL DETILS Title: Mr Mrs Miss Ms Dr Prof ev Other Surname: irst Name(s): Date of Birth: ID / Passport No.: Physical ddress: Post ode: Page 2 of 13

3 SETION : PIMY PPLINT JUISTI / OTHE ENTITY If the Juristic / Other Entity already has a relationship with BS Mutual Bank, please provide the bank with: The ustomer Information ile (I) number (if you do not have this, please ask and the bank will locate this for you) I No. Entity Name: ND Only the information that has changed in the past 12 months (if relevant) in the form below JUISTI / OTHE ENTITY DETILS: Name of Entity: egistration No.: If No egistration No., Initial Here: Trading Name: Physical ddress: Post ode: SETION D: 3 D PTY EPESENTTIVE O N INDIVIDUL s you already have a relationship with BS Mutual Bank, please provide the bank with: Your ustomer Information ile (I) number (if you do not have this, please ask and the bank will locate this for you) I No. ull Name: ND Only the information that has changed in the past 12 months (if relevant) in the form below 3 D PTY EPESENTTIVE DETILS: Title: Mr Mrs Miss Ms Dr Prof ev Other Surname: irst Name(s): Date of Birth: Physical ddress: Post ode: Page 3 of 13

4 SETION E: INNIL DISLOSUE (not required if intention is to settle from security offered for loan) 1. Individual Primary pplicant and o-applicants applying for this loan are required to full detail of income and expenditures details. In addition, proof of income / financial statements, marriage certificate (if relevant), and supporting documentation regarding the security offered against the loan will be required. 2. Juristics / Other Entities are NOT required to complete this section, but rather provided signed financial statements that are less than 12 months old. SETION D(1): INOME ND EXPENDITUE INOME PIMY PPLINT SPOUSE / O- PPLINT DEDUTIONS PIMY PPLINT SPOUSE / O- PPLINT Basic Salary verage ommission verage Overtime ar llowance Housing Subsidy Interest / nnuity Maintenance Tax UI Pension Medical Bond Loans Other (Specify) Other (Specify) TOTL INOME TOTL DEDUTIONS HOUSEHOLD EXPENSES ND OMBINED NETT INOME Bond Instalment / ent Motor Vehicle Instalments Personal Loan / redit ard Instalments Water & Lights ates & Taxes roceries Maintenance (if Divorced) Transport / Petrol / Vehicle Maintenance lothing and Other etail ccounts Insurance - Life Insurance Short-term Telephone / ell School / Varsity ees Entertainment / Sport Domestic Help / Salaries BELOW IS O OIL USE ONLY MLE - alculated TV ental / DSTV / MNET Other (specify) MLE - Declared TOTL EXPENSES SUPLUS DEIIT Page 4 of 13

5 SETION E: INNIL DISLOSUE (not required if intention is to settle from security offered for loan) SETION D(2) SSETS ND LIBILITIES: SSETS DESIPTION BLNE / VLUE (and) LIBILITIES DESIPTION BLNE / VLUE (and) ixed Property Mortgage urrent ccount redit balance urrent ccount Overdraft Vehicles HP acility Investments etail ccounts Policies redit ard Unit Trusts / Shares Personal Loan Sureties Other (specify) Other (specify) TOTL TOTL Page 5 of 13

6 LON DETILS SETION : LON DETILS Loan mount equested: Interest ate: LON EPYMENT Please select how you intend to repay this loan: gainst the maturity of the investment(s) selected Initial: O It is noted and acknowledged that in terms of the National redit ct, loans may only be granted to those persons who have proven their ability to repay the loan. I / We hereby acknowledge that I / We have no intention of settling this loan by way of monthly instalments and instruct BS Bank, in terms of their rticles of ssociation, to settle the extent of my / our indebtedness, including interest owed, from the investment held a security. Monthly payment or other sources of income Please note, if this option is selected, we will need to carry-out an affordability assessment, and you will be required to complete the relevant financial disclosure forms. LON PYMENT INSTUTION: onfirm where proceeds will be paid to, if this loan is granted: Pay into Bank ccount(s) Other Will dvise at a Later Date If you have selected to have the proceeds paid into a bank account(s), please provide account details where you would like proceeds paid ND the and split if more than one account is to be used. 1. OUNT DETILS ccount Name: ccount Number: Bank: Branch: ccount Type: Branch ode: State Split llocation of Total Loan mount: 2. OUNT DETILS (if loan amount to be paid is split across more than one account) ccount Name: ccount Number: Bank: Branch: ccount Type: Branch ode: State Split llocation of Total Loan mount: Page 6 of 13

7 SETION : LON DETILS (S) TO BE USED INST THE LON Please provide the investment(s) which will be used as security against the loan, should it be granted: 1. OUNT DETILS ccount No.: Sub-ccount Name: ccount Type.: ixed Deposit Indefinite Paid-up Share Subscription Shares Investment Value: Maturity Date of Investment: Investment Interest ate: 2. OUNT DETILS ccount No.: Sub-ccount Name: ccount Type.: ixed Deposit Indefinite Paid-up Share Subscription Shares Investment Value: Maturity Date of Investment: Investment Interest ate: 3. OUNT DETILS ccount No.: Sub-ccount Name: ccount Type.: ixed Deposit Indefinite Paid-up Share Subscription Shares Investment Value: Maturity Date of Investment: Investment Interest ate: Page 7 of 13

8 DISLOSUE: SETION : TEMS & ONDITIONS s the primary applicant; mandated signatory and / or related party (authorised by resolution to represent the client) on this account: re you or any immediate family members, business associates and / or key related parties on this account Yes No considered to be a: a) Prominent Influential Person (PIP)(defined as an individual holding a prominent position or function within the republic of S in the public/private sector); O b) oreign Prominent Public Official (PPO) (defined as an individual holding a prominent public function in any foreign county in the public sector) Yes No re you a foreign national of any of the following Sanctioned / T excluded country and / or do you have business dealings with any of these listed *countries: Balkans, Belarus; Bosnia; Burma (Myanmar); Burundi; entral frica epublic; ote d Ivoire (Ivory oast); uba; Democratic epublic of ongo; Ethiopia; Herzegovina; Iran; Iraq; Lebanon; Liberia; Libya; North Korea; Sri Lanka; Somalia; Sudan; Syria; Trinidad; Tobago; Tunisia; Ukraine; Vanuatu; Yemen; Zimbabwe (NOTE: *this list is subject to change) OMMUNITION PEEENE: We keep general correspondence with clients to a respectful minimum. However, from time-to-time we may be required to contact you with important information concerning your account, or with details of a promotion which we feel may be of interest to you. Please indicate which communication channels you prefer for certain types of information OUNT INOMTION: When BS is required to send me periodic account information such as interest rate changes, tax certificates or statements, or to contact me regarding my proof of insurance, I would prefer to be contacted by: Post ENEL INOMTION: When / if BS has general information regarding the Bank, or promotional material which the Bank feels may be of interest to me, such as special interest-rate offers on fixed-deposits and shares, I you would prefer to receive this information by: Post I prefer not to receive this type of correspondence Please note that, regardless of your indicated preference(s), when it comes to matters relating to regulatory compliance (e.g. I), account security (including confirmation of changes to contact details or preferences), payment problems or any other urgent business, the Bank will endeavour to contact you via all available channels. Page 8 of 13

9 SETION : TEMS & ONDITIONS ENEL: I / We declare the particulars in the foregoing form of application to be correct to the best of my / our knowledge and belief, and agree, in the event of the loan sought being granted, declare that I am / we are bound by the following general conditions:- 1. If this application is successful, and the loan is granted, I / We undertake to make myself / ourselves acquainted with the terms and conditions of the loan and be bound thereby. 2. The application amount of this loan together with any possible prior loans may not exceed 90% of the investment amount which has been used as security for the loan. 3. or ixed Deposits: a) In consideration of the Bank allowing me / us these facilities, I / We hereby cede and pledge to the Bank as security therefore, the securities specified in the above mentioned schedule, with all interest which may accrue in respect thereof. The said securities are hereby pledged as a continuing covering security for all amount which I / We may at any time owe to the Bank arising out of any cause of debt whatsoever. b) In the event of any fixed deposit of share maturing during the currency of this pledge, the Bank shall be entitled to apply the proceeds thereof towards my / our indebtedness to the Bank, or to otherwise dispose of or realise the securities or any part thereof in such manner as it deems fit and any such re-investment shall be deemed to be pledged hereunder as if it had been originally incorporated herein. c) In the event of the moneys hereby secured not being paid when due, the Bank shall be entitled in its sole and absolute discretion, to sell, surrender, transfer, redeem or otherwise dispose of or realise the securities of any part thereof in such manner and on such terms as may appear to the Bank most expedient, and to apply the proceeds thereof to the payment of my / our indebtedness to the Bank; provided that after payment of all costs and expenses in connection with such realisation, and of all sum or sums of money hereby secured, the balance, if any of such proceeds shall be paid to me / us or to my / our order. 4. The Bank will take reasonable measures to ensure that information supplied in this application is appropriately safeguarded against loss, destruction or unlawful access. I/ We understand that any personal information obtained during this application will be processed and retained by the Bank for as long as required in terms of any relevant commercial, statutory or regulatory obligation and I / We consent to such processing and retention. I confirm that this information is correct: ull Name: Signature of Primary pplicant or 3 rd Party epresentative ull Name: Signature of Spouse (if relevant) or o-pplicant ull Name: Signature of o-pplicant Page 9 of 13

10 PLESE POVIDE US WITH THE OLLOWIN SUPPOTIN DOUMENTTION SETION : PIMY PPLINT (INDIVIDUL) s an Individual Primary pplicant (including Sole Proprietary pplicants), you are required to provide original or certified copies of the following supporting documentation,, if not provided already within the past 12 months: Entity Type: South frican itizen / esident opy of ID Document Proof of esidential ddress, e.g. utility bill no older than 3 months SS document with Tax Number / cknowledgement of no Tax Number Entity Type: oreign National opy of Passport Proof of esidence (if you reside in South frica) SS document with Tax Number / cknowledgement of no Tax Number s 3 rd Party representing an Individual Primary pplicant, you are required to provide the following supporting documentation: 3 rd Party epresenting an Individual (equirements are pplicable for Both Parties) opy of ID Document Proof of esidential ddress, e.g. utility bill no older than 3 months SS document with Tax Number / cknowledgement of no Tax Number Proof of uthority to ct, e.g. power of attorney, mandate, court order, resolution dditional equirements In addition, the following will be required to support this application: Proof of income / 3 months financial statements Marriage certificate (if relevant) Supporting documentation regarding the security offered against the loan (if relevant) Page 10 of 13

11 PLESE POVIDE US WITH THE OLLOWIN SUPPOTIN DOUMENTTION SETION B: PIMY PPLINT (JUISTI / OTHE ENTITY) s Juristic / Other Entity Primary pplicant (excluding Sole Proprietary pplicants), you are required to provide original or certified copies of the following supporting documentation, if not provided already within the past 12 months: South frican ompany IP ertificate or M1/M22 signed off by ompany Secretary / epresentative onfirmation of mandated officials, i.e. IP / External confirmation provided by uditor / Share ertificate / onfirmation on company letter head signed by ompany Secretary Document containing trade name and operating address, e.g. utility bill no older than 3 months ertified copies of ID to be obtained for all Individuals (e.g. Key ontroller/mandated Officials, uthorised Signatories, Shareholders with 25% or more, Surety and uarantors) opy of Income Tax / Vat certificate indicating reference number Proof of authority as to who can act on behalf of the entity, e.g. resolution, extract of minutes, or mandate letter South frican losed orporation K1/K2 O IP ertificate signed off by Member Document containing trade name and operating address, e.g. utility bill no older than 3 months ertified copies of ID to be obtained for all Individuals (e.g. Members, Mandated Officials, uthorised Signatories) opy of Income Tax / Vat certificate indicating reference number Proof of authority as to who can act on behalf of the entity, e.g. resolution, extract of minutes, or mandate letter oreign ompany Official document from foreign regulator witnessing incorporation, bearing the name, number and address onfirmation of mandated officials, i.e. IP / External confirmation provided by uditor / Share ertificate / onfirmation on company letter head signed by ompany Secretary Document containing trade name and operating address, e.g. utility bill no older than 3 months ertified copies of ID to be obtained for all Individuals (e.g. Key ontroller / Mandated Officials, uthorised Signatories, Shareholders with 25% or more) opy of Income Tax / Vat certificate indicating reference number if registered Proof of authority as to who can act on behalf of the entity, e.g. resolution, extract of minutes, or mandate letter Partnership Partnership greement or Letter of confirmation Document containing trade name and operating address, e.g. utility bill no older than 3 months ertified copies of ID to be obtained for all Individuals (e.g. Partners(named and silent) / uthorised Signatories) opy of Income Tax / Vat certificate indicating reference number Proof of authority as to who can act on behalf of the entity, e.g. resolution, extract of minutes, or mandate letter Trust Trust Deed or other founding document, i.e. a Will Letter of uthority from Master (S Trust) or oreign egulator ertified copies of ID to be obtained for all Individuals (e.g. ounder / Donor, Trustees, Beneficiaries, uthorised Signatories) Proof of authority to act on behalf of the trust, i.e. Trustee esolution opy of Income Tax / Vat certificate indicating reference number Other Entity (i.e. lub, ssociation, Body orporate) (Sole Proprietary will be treated as an Individual pplicant) The constitution or other founding document in terms of which legal person is created Document containing Trade name and Operating ddress, i.e. utility bill no older than 3 months ID docs in respect of all authorised representatives opy of Income Tax / Vat certificate indicating reference number (if applicable) Proof of authority as to who can act on behalf of the entity, e.g. resolution, extract of minutes, or mandate letter Page 11 of 13

12 O INTENL USE 1. Staff Member Opening ccount / e-identifying the ustomer Name: Designation: Signature: 2. Second Level of uthority: Documentation hecks ompleted Name: Designation: Signature: Name: Designation: Signature: 3. Third level of uthority: Management pproval ompleted (if required) Name: Designation: Signature: SITE VISIT: If a staff member from BS Mutual Bank is required to conduct a site visit, please confirm that this site visit has been concluded: I, hereby confirm that I have visited the physical address as recorded in this application form. Signature of BS Staff Member Page 12 of 13

13 O INTENL USE LON MOUNT EQUESTED PITLISE INTEEST DMIN EE ET EE VT MXIMUM LON MOUNT EOMMENDTIONS: ecommended Manager Loans: ecommended eneral Manager: pproved / ecommended MS: pproved Board Meeting: DDITIONL NOTES: Page 13 of 13