Masthead Checklist Credit Provider Application

1 1 Checklist New Credit Provider registration Application Masthead provides a service to assist clients prepare these documents and apply for registration as a Credit Provider from the National Credit Regulator. If you would like us to assist you through this process, email us at Masthead (Pty) Ltd ( Masthead ) provides a service ( service ) to assist applicants to apply for registration as a Credit Provider from the National Credit Regulator (NCR), subject to the following: 1. The applicant acknowledges that the decision to apply for registration as a Credit Provider is out of own volition and no fee paid to Masthead and/or the NCR will be refunded to the said applicant. 2. The applicant acknowledges that the effective date of delivery of the service is directly attributable to the applicant providing complete and accurate information and/or supporting documentation where requested to do so.

2 3. It is the applicant s responsibility to provide Masthead with all information and/or supporting documentation where so requested and the applicant agrees that where the required information and/or supporting documentation remains outstanding for a period of three (3) months, Masthead may terminate the registration request or instruction and will provide said applicant with a written notice to this effect. 4. The applicant acknowledges and confirms that all information and/or supporting documentation provided is accurate and correct. 5. The applicant acknowledges that Masthead has no control over the NCR s service delivery and internal processing turnaround times and that Masthead consequently provides no guarantees in relation to said service delivery times, nor any guarantees that registration applied for will be granted by the NCR. 6. The applicant hereby acknowledges that he/she/it has no recourse in law or otherwise to recover from Masthead or its personnel any damages suffered by said applicant for any loss incurred directly or indirectly from failure by Masthead or the NCR to deliver the service or to have any action performed within a specified timeframe.

3 7. The applicant indemnifies Masthead from any liability for any damages suffered or losses incurred arising from any advice and/or recommendation provided by Masthead . The applicant also agrees that Masthead is not legal counsel to said applicant and neither does it purport to be such. 8. Masthead will deliver the service with the necessary skill, expertise and professionalism. Documents and information required for the Application for registration as a Credit Provider in terms of Section 40 and 41 of the National Credit Amendment Act, 19 of 2014: Information / Documents required if attached 1. Completed and signed Application Form (NCR Form 2) (Annexure A) 2. Ensure that the following information is available: Entity s registration number Income Tax registration number VAT registration number Auditor / Accounting Officer s information Proof of B-BBEE registration 2 Information / Documents required if attached 3.

4 Companies and Intellectual Property Commission (CIPC) registration document or other official legal registration document. 4. Copy of the share certificate(s) if applicant is company. Where the shareholder is a natural person, please submit the following documentation for every shareholder: Certified copy of the identity document. Part 7 of NCR Form 2 (disqualification of natural person form). Police clearance certificate not older than six (6) months). 5. Certified copies of ID/Passports of all members/directors/shareholders/trustees/ partners/sole proprietors. 6. Completed Part 7 of NCR Form 2 (Disqualification of Natural Persons) by each natural person who exercises general management or control of the Application . 7. Resolution if applicant is a juristic person (Annexure B). 8. A criminal Clearance Certificate for all the members/directors/shareholders/trustees/ partners or sole proprietors issued by the south african Police services (SAPS) or other service providers listed in the Annexure C attached hereto.

5 The clearance certificate must not be older than six (6) months. 9. Combating of Over-indebtedness Policy 10. Proof of payment of the registration fees: Non-refundable Application fee of R550. Branch fee of R250 per location or premises at or from which the applicant conducts registered activities. Initial registration fee as indicated in the table below for each sub-category of registrant. 11. Complete Confirmation of payment of fees (Annexure D). 12. A signed and stamped letter from the bank confirming the applicant s banking details or a copy of a cancelled blank cheque or a stamped bank statement not older than six (6) months. 13. Proof of registration with the south african revenue services (SARS). The applicant hereby agrees and confirms that he/she/it is satisfied with the contents of this document and acknowledges that it is correct.

6 Thus, done and signed on this .. day of .. 20 .. Applicant name: _____ Applicant signature: _____