Finance Application Form

I confirm that:

Credit Consent

I understand that I will be liable for a monthly service fee.

I consent to this Credit Provider reporting the conclusion of any credit agreement with me to the National Loans Register in compliance with this Credit Provider’s obligation under the National Credit Act. I hereby declare that the information provided by me is true and correct.

I consent to the bank making enquiries about my credit record with credit reference agencies and credit bureau for the purposes of assessing the credit application or updating my information in future. I also consent to the bank sharing information with such agencies about how I manage this loan agreement, who may in turn share this information with other credit providers.

I consent to identity and fraud prevention checks and sharing information relating to this application through the South African Fraud Prevention Service.

Agreement

I consent to the Merchant West Group, processing the required personal information, as provided above and acknowledged that I understand the purposes of which it is required and for which it will be used. I, the undersigned, hereby declare that the information provided herein is both true and correct, in every aspect and represents a true reflection of my personal financial position. CONSENT TO PROCESS PERSONAL INFORMATION IN TERMS OF THE PROTECTION OF PERSONAL INFORMATION ACT NO. 4 OF 2013 (POPI)In terms of POPI, Merchant West Group is required to process your / your company’s Personal Information in a lawful and reasonable manner. INFORMATION REQUIRED: Merchant West Group requires the following personal information: Registration documentation in respect of the company / close corporation / trust (in the event of a trust (or shareholding constituting of a trust), a copy of the trust deeded list of beneficiaries and clear certified copies of their identity documents); certified copies of identity documents of directors / members / trustees / partnerships /individual; credit applications; latest audited financial statements; latest 3 (three) months’ bank statements; interim management statements; company letterhead; utilitybill for all guarantors; trade references; 3 (three) months’ telephone account; resolution / power of attorney; confirmation of banking details (confirmation on bank letterhead); landlord waiver; insurance confirmation; settlement disclosures; ITC checks and reports (to request and to disclose information to third parties). PURPOSE OF COLLECTION MANDATORY Processing of finance applications (internally and externally); drafting and finalising rental/instalment sale/transaction/facility agreements; to evaluate risk assessments in accordance with relevant and applicable legislation and regulations; comply with all tax and financial obligations; processing for invoice purposes; perform necessary background verification; communication; formalise client contractual arrangements which include uploading, storage and maintaining information on our database. INFORMATION TO INDEPENDENT FINANCE AGENT Merchant West Group will subject all Credit Applications received, for verification by an independent third party, which include all approved finance houses for Merchant West Group and/or internal verification methods, of which the costs will be for Merchant West Group and/or the approved finance houses. The appointed third party will adhere to all necessary requirements in respect of POPI.