ELECTRO CITY CC

1 ELECTRO city CC. AUTO ELECTRICAL WHOLESALERS. VAT NO. 4290134164 REG. NO. 92/25699/23. 219 MARSHAL STREET TEL: 011-334-8355/9. city Suburban FAX: 011-334-9014. JOHANNESBURG BLOEMFONTEIN. BOX 16354 TEL: 051- 430-9125. DOORNFONTEIN PRETORIA. TEL: 012 327 3374. DURBAN: TEL: 031-312 7777. PIETERMARITZBURG. TEL : 033-940-0092. CUSTOMER DETAILS/ CREDIT. APPLICATION. (Application for credit facilities, including the Company's Standard Terms and Conditions). We, _____("the Customer") hereby make application for the opening of a 30. (THIRTY) days account with ELECTRO city CC ("the Company"). REGISTERED NAME: Trading Name;. Registration number (if applicable). Physical address: _____. _____. _____. _____. Postal address: _____. _____. _____. _____. Telephone numbers: Cell number: Fax number: Company Reg. Number (if applicable VAT Registration number BANKING DETAILS: BRANCH CODE: ACCOUNT NUMBER: TYPE OF ACCOUNT.)

2 EMAIL ADDRESS: _____. COMPANY PARTICULARS: HOW LONG IN BUSINESS: Credit limit required : R _____. PLEASE INITAL EACH PAGE , COPY OF VAT / CK AND ID. _____. TRADE REFERENCES. COMPANY NAME CONTACT TERMS PERIOD LIMIT. 1. 2. 3. 4. DETAILS OF DIRECTOR (S)/OWNER (S) PARTNER (S) OF COMPANY. FULL NAMES: ID NUMBER: ADDRESS: TEL NUMBER: 1. 2. 3. FOR OFFICE USE ONLY. TRADE REFERENCES. COMPANY. CONTACT PERSON: TRADING PERIOD: TERMS: LIMITS: AVERAGE PURCHASES: PAYMENT METHOD: RATING: TERMS AND CONDITIONS. 1. Our payment terms are COD. 2. If any amount is not paid within 30 (THIRTY) days from date of statement I/we shall be liable for interest at ____% the current overdraft rate charges by ABSA BANK from time to time from due date of payment and if the said interest shall not be paid, same shall be added to the principal sum and the whole amount shall form the principal debt which shall bear interest as aforesaid.

3 3. Ownership of the goods delivered shall remain vested in ELECTRO . city CC until paid for in full. All risk of loss, damage, destruction or otherwise in and to the goods sold shall pass to me/us upon delivery to me/us. It is agreed however that goods may be on sold in the ordinary course of business despite the fact that the may not have been paid in full at such time. 4. In the event of ELECTRO city CC engaging the service of an attorney registered collection agency for the purpose of collection from me/us of the amount due by me/us. I/we accept liability for and undertake to pay on demand, on the attorney registered collection agency and client scale, all legal registered collection against costs, expenses and collection commission incurred in making demand for and/or suing or the recovery of the amount owing, and interest or any portion thereof and the cost of the execution of any judgment and in general all costs which may arise out of or in connection herewith.

4 5. Subject to and in terms of Section 5 of the Magistrate's Court Act as amended I/we consent and agree to the jurisdiction of the Magistrate's Court for the district having physical jurisdiction over me/us to hear and determine any action which may be taken against me/us arising out of or in connection herewith. Irrespective of the amount or value of the claim. 6. Claim for shortages and damaged goods must be lodged within 7. (SEVEN) days from receipt of such goods should I/we fail to do so, I/we will be deemed to have acknowledged that the goods are in all respects complete, as per description and without defect. 7. I/we hereby select domicilium citandi et executandi at the address given for all purposes whether in respect of court process, notices or other documents or communications of whatsoever nature. 8. No failure, delay, relaxation or indulgence on the part of ELECTRO .

5 city CC in exercising any power of right conferred upon it in terms hereof shall operate as a waiver of such power, or right/s, nor shall any shingle or partial exercise of any such power or right preclude any other or further exercise thereof, or the exercise of any other power or right hereunder. 9. No cancellation of this agreement or variation or modification or any provision hereof nor any consent to a departure of ELECTRO city . CC there from shall be of any force or effect unless confirmed in writhe and signed by ELECTRO city CC. 10. I/We undertake to advise ELECTRO city immediately of any change in ownership, partnerships or title of business and we accept that failure by me/us to do so renders me/us liable for all goods sold before or after such change/and I/we undertake to make all there relevant payments to ELECTRO city CC. Complaints and objections concerning above-mentioned conditions can only be considered if made in writing within 10 day from date hereof.

6 DECLARATION OF UNDERTAKINGS. I, the undersigned duly authorized to act on behalf of the Customer and to bind the customer's credit. I certified that the information recorded in this Application is true and correct in every respect. The customer accepts the terms and conditions stated herein. THUS DONE AND SIGNED AT _____ ON. THIS _____ DAY OF _____20____. AS WITNESSES: 1. _____. FULL NAME AND SURNAME. _____. SIGNATURE. 2. _____. FULL NAME AND SURNAME. _____. SIGNATURE. _____. FOR AND ON BEHALF OF THE. CUSTOMER HE BEING DULY AUTHORISED. HERETO. _____. FULL NAME AND SURNAME. _____. IDENTITY NUMBER: Please note that the following documents are required in order to process your account: 1. A copy of your CK/PTY (LTD) registration document. 2. Copy of registered member's/owner's identity document. DEED OF suretyship . I, we the undersigned, of (precise physical address).

7 _____. _____. _____. Do hereby bind myself/ourselves as surety to and co-principal debtor(s) with (Company name). _____. _____. _____. (hereinafter referred to as "the debtor"), for the sum of R_____ to ELECTRO city (herein referred to as "the creditor") which is now owed by the debtor to the creditor or which may in future become owing from whatsoever cause arising without any limitation whatsoever. I/we hereby agree to the jurisdiction of the Magistrate's Court having jurisdiction over my/our person(s) in any action arising from the suretyship . I/we also undertake to pay all legal costs incurred by the creditor in any proceedings instituted against me/us hereunder on an attorney and client scale together with interest on the capital sum at the maximum rate allowed by law from time to time plus collection commission. For the purpose of this suretyship I/we choose the above-mentioned address as my/our domicilium citandi et executandi.

8 THUS DONE AND SIGNED AT _____ ON. THIS _____ DAY OF _____20_____. AS WITNESSES: 1. _____. 2. _____. _____. FULL NAMES AND SURNAME. _____.