Personal Details: |
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Bond Details: |
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Employer Status: |
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Bank Details: |
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Trade Reference: |
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I Confirm that:
A. I am not a minor.
B. I have never been declared mentally unfit by a court.
C. I am not subject to an administration order.
D. I do not have any current application pending for debt restructuring or alleviation.
E. I do not have any current debt re-arrangement in existence.
F. I have not previously applied for a debt re-arrangement.
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.
I. If any of the above is incorrect, give details:
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Declaration by Client: |
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