Professional Documents
Culture Documents
F&I DETAILS
CUSTOMER DETAILS
PAYMENT AUTHORISATION
COMPLIANCE ALERT
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Ref No:
VAT Registration No NOT PROVIDED
Date/Time: 2017/01/16 04:29 PM
Old Account No: REW35295X
New Account No: 85256790869
NCRCP20
Year of First Registration: 2016 Model and Make: FIGO 1.4 AMBIENTE FORD
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20,541.02
Initiation Fee (VAT inclusive) R 1,197.00
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Less:
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Plus:
Finance Charges R 51,849.82
Total Amount payable/Cost of the Agreement (excluding optional insurance) R 158,487.84
Total amount of VAT included in the Principal debt R 17,449.28
PART B: Instalment payable
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This Quotation is valid for a period of 14 days from the date of issue.
Page 1 of 3
Ref No:
VAT Registration No NOT PROVIDED
Date/Time: 2017/01/16 04:29 PM
Old Account No: REW35295X
New Account No: 85256790869
NCRCP20
PART E: Additional charges added to the Principal Debt
Accessories Detail Additional Charges
Serv & Delivery R 3,990.00 Innovation Maint Plan R 14,551.02
Window Break-In Protection R 2,000.00
PART G: Repayment arrangements
72 monthly instalments of R2,201.22 (excludes Service Fee and Insurance) commencing on 2017/03/01
Where the Due Date falls on a Sunday or public holiday, the instalment will be due on the first business day immediately BEFORE that date.
Method of Payment DEBIT ORDER
Agreement term: 73 months Commencement Date: 2017/01/16 Expiry date: 2023/02/01
PART H: Further information on rights and obligations
If this Agreement is terminated by you in terms of section 121 of the Act, then you will be liable to pay us a rental which is calculated as the
reasonable costs of restoring the Goods to a saleable condition, the reasonable market-related daily rental (calculated at 0.3% of the cash price
of the Goods) for each day that you have had possession of the Goods.
The interest rate on any past due amounts in respect of a juristic person will be at the prevailing contract rate.
I would like to receive information, through any of the following communication methods, being email, SMS or telephone, relating to any
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FirstRand Group special offers or new products that may be of value to me. In respect of your privacy, we promise not to send your data to any
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As Witnesses __________________________________________
For the Consumer who warrants
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As Witnesses
_________________________________________
For the Credit Provider
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1____________________________________________________________________
Co-debtor
Signed at __________________________________________________________________on _________________________________________
As Witnesses
_________________________________________
For the Co-debtor
1____________________________________________________________________
Account Number 85256790869 Page 2 of 3 Date & Time Produced 2017/01/16 04:29 PM
Ref No:
VAT Registration No NOT PROVIDED
Date/Time: 2017/01/16 04:29 PM
Old Account No: REW35295X
New Account No: 85256790869
NCRCP20
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I/We agree that although this Authority and Mandate may be cancelled by me/us by giving you prior written and/or telephonic voice recorded notice, such
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cancellation will not cancel the Agreement and I/we shall not be entitled to a refund of amounts which you have withdrawn while this authority was in
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force, if such amounts were legally due, owing and payable to you.
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Charge(s) will be deducted on or after the Due Date except where such day falls on a Sunday or public holiday, in which event, the Due Date shall be the
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Dated __________________________________
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________________________________________________ _________________________________________
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Legal Requirement:
If you are married in community of property or by customary law prior to 15/11/2000, then you are required to obtain written consent (with two witnesses)
from your spouse to enter into any credit agreement.
If you are so married (ie. In community of property or by customary law prior to 15/11/2000) please confirm that you have received your spouses'
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Account Number 85256790869 Page 3 of 3 Date & Time Produced 2017/01/16 04:29 PM
CONFIRMATION OF Ref No:
Date/Time: 2017/01/16 04:29 PM
CUSTOMER Old Account No: REW35295X
APPLICATION DETAILS New Account No: 85256790869
NCRCP20
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Period 3 Years 3 Months
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HOME OWNERSHIP
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MARITAL DETAILS
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0.00
Full Names Employer Tel.
ID No.
Date of Birth Postal Code
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Employer
BANK DETAILS
Account Type SAVINGS ACCOUNT Limit
Overdraft Bal
Bank Name NEDBANK NEDBANK SOUTH AFRICA
Branch Name
Account No 2520103205 AE HELMSTEDT
Holder's Name
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SALARY
I confirm that:
(a) I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.
(b) I am not a minor. -
(c) A court has never declared me mentally unfit.
(d) I am not subject to an Administration Order.
(e) I do not have any current application pending for debt restructuring or alleviation.
(f) I do not have any current debt re-arrangement in existence.
(g) I have not previously applied for a debt re-arrangement.
(h) I am not under sequestration.
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R Ref No:
VAT Registration No 4210102051
Date/Time: 2017/01/16 04:29 PM
Old Account No: REW35295X
New Account No: 85256790869
NCRCP20
1.11. "Juristic person" means a partnership, association or other body of policy during the term of the Agreement on your behalf as they fall due and to
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persons, corporate or unincorporated, or a trust if- debit you monthly with the amount of such premiums.
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(a) there are three or more individual trustees; or 5.5. We shall not be liable in the event of an insurer rejecting your claim for
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(b) the trustee itself is a juristic person, but does not include a stokvel; any reason.
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1.12 "Material Adverse Effect" means a substantial change in your 5.6. Further, we may require that you maintain credit life insurance and/or
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shareholding and/or interest and/or in your circumstances which, in our any other appropriate insurance for a value not exceeding the total of your
reasonable opinion has or will have a material adverse effect on: " your outstanding obligations to us in terms of this Agreement.
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financial condition, business or operations; and/or " your ability and/or the 5.7. You must be able to provide us with proof that the Goods are insured on
ability of your surety to perform the financial or other material obligations under or before the signature date of this Agreement, or at any time thereafter. If you
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this Agreement are unable to provide us with proof, we may (but shall not be obliged to):
1.13. "Prime Rate" means the interest rate published by FirstRand Bank 5.7.1. insure the Goods for the value of your outstanding obligations to us; or
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Limited from time to time, being its Prime Rate, as certified by any manager of 5.7.2. if you are a juristic person, comprehensively insure the Goods to its full
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the Bank whose appointment and designation need not be proved. market value, and, in either case, to recover the premium from you.
1.14. "Principal Debt" means the amount of finance that we will provide to 6. Use of the Goods
you as set out in Part A of the Quotation / Cost of Credit; 6.1. You must maintain and service the Goods at your cost in accordance
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1.15. "Supplier" means the party from whom you procure the Goods; with the manufacturer's specifications.
1.16. "Take-a-Break" is a form of repayment plan where you elect not to 6.2. You must not modify the Goods without our prior written approval, and if
make payment for a particular month, every year, over the period of the you add any accessory, this will become part of the Goods and we will not
Agreement; compensate you for this.
1.17. "VAT" means value added tax in terms of the Value-Added Tax Act 89 6.3. You must not sell, let, loan, pledge or transfer the Goods to another
of 1991, at the rate as set out in that Act or as it may be from time to time; person without our prior written approval, nor allow the Goods to become
1.18. A reference to a natural person includes a juristic person; to the subject to any attachment, lien, hypothec or any legal claim.
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singular includes the plural; to a specific gender includes both genders; as the 6.4. Anyone who uses the Goods must be fully qualified and licensed (where
context requires, and all vice versa; and applicable).
1.19. A reference to legislation is a reference to the legislation as at the date 6.5. You must at your cost comply with any law relating to the use,
of enactment of the legislation or as it is amended or re-enacted from time to possession, licensing and/or registration of the goods.
time. 6.6. If the Goods is a motor vehicle, the Goods will be registered in terms of
2. Delivery and Risk the National Road Traffic Act 93 of 1996, in our name as "Titleholder" and in
2.1 We sell the Goods to you on the terms and conditions of this Agreement. your name as "Owner", and you must keep the Goods in a good and
2.2. You acknowledge that you have chosen the Goods from the Supplier roadworthy condition at your own cost.
and that we do not know the purpose for which you require us to finance the 6.7 you must comply with all local environmental legislation, standards and
Goods. practices in respect of your use of the Goods.
2.3 You will be entitled to inspect the Goods so as to ensure that the Goods 7. Location of the Goods
are not defective in any way and are suitable for the purposes for which you 7.1. You must inform us in writing of any change to:
require them. 7.1.1. the address where the Goods are normally kept; and/or
2.4 If you are satisfied with the Goods, then you must acknowledge this by 7.1.2. the name and address of the person in permanent possession of the
signing the Delivery Receipt and acting as our agent by taking delivery of the Goods.
Goods on our behalf. 7.2. If applicable, you must inform your landlord or bondholder of the
2.5 All risk in and to the Goods will pass to you and remain with you when premises where the Goods are kept, that we own the Goods.
you take delivery of the Goods or when the risk leaves the Supplier of the 7.3. We or our agent may inspect the Goods at any reasonable time, at the
Goods, whichever is the earlier. place where it is normally kept.
3. Cooling-off period 7.4. You may not take the Goods out of the Republic of South Africa without
3.1. If you did not enter into this Agreement at our registered business our prior written consent, which consent may have conditions attached thereto.
premises, you may terminate this Agreement within five (5) business days after 7.5. We, the sheriff of the court or his deputy, may request you to provide
entering into the Agreement by delivering a notice to us by hand, fax, email or details as to the whereabouts of the Goods at any time, as well as details of
registered mail, advising us of your decision to terminate the Agreement, and any third-party possessor of the Goods, or of the landlord or bondholder of any
you must return the Goods to us or our agent at our registered business premises where the Goods are kept. Providing false or misleading information
premises. or acting in a manner that is likely to frustrate us from exercising our rights, is
3.2. We will refund any money you may have paid to us under this an offence in terms of the Act.
Agreement within seven (7) business days after you have delivered the notice 8. Repayments
and returned the Goods as set out in 3.1 above, and you will be liable to pay us 8.1. You must pay all amounts due in terms of this Agreement on the Due
the reasonable costs of restoring the Goods to a saleable condition, the Date.
reasonable market-related daily rental (calculated at 0,3% of the cash price of 8.2. You may at any time prepay any amount under this Agreement, without
the Goods) for each day that you have had possession of the Goods, and the penalty. Your repayments will be used to reduce your obligations in the
depreciation costs of the Goods. following order:
Initial
R Ref No:
VAT Registration No 4210102051
Date/Time: 2017/01/16 04:29 PM
Old Account No: REW35295X
New Account No: 85256790869
NCRCP20
8.1.1. firstly, against due or unpaid interest; of demand until the date of final payment.
8.1.2. secondly, against due or unpaid fees or charges; and 11.7. If you do not pay us any amount that is outstanding after the sale of the
8.1.3. thirdly, against the amount of the Principal Debt. Goods, you will be in breach.
8.3. If you prepay an amount in terms of this Agreement, you agree that we 11.8. If there is a credit due to you after the sale of the Goods and after any
will use such amounts to proportionately reduce your repayments over the reasonable costs we incurred have been deducted, this amount will be paid to
remaining period of the original term of this Agreement, unless you request you, provided that no other credit provider has a Credit Agreement with you in
otherwise in writing. respect of the same Goods.
8.4. You may not deduct any amount from your instalment payment. 12. Event of Default
8.5. If you pay the instalments later than the date that they are due, you will 12.1 An event of default shall occur if any agreements or facilities you, your
pay interest on all arrear amounts. If you are not a Juristic person, then we may surety or your associated companies, have with FirstRand Bank or any division
charge you interest on such arrear amounts, at the highest rate applicable to of the FirstRand Bank,, become due and payable prior to its specified maturity
any part of the Principal Debt. by reason of default, or if not paid when due.
8.6. If any fees and/or charges and/or interest rate changes occurring, you 12.2 You acknowledge that:
agree that we are authorised to effect the relevant change to your repayments 12.2.1 we are providing finance under this Agreement based on the law
in terms of your debit order authority. applicable and your financial position and circumstances, and of your surety, at
8.7. If this Agreement is terminated by us and you dispute such termination the time of entering into the Agreement, as well as the industry and
whilst remaining in possession of the Goods, you must continue to pay all environment within which we operate at that time; and
amounts due. Notwithstanding our acceptance of such payments, we will not 12.2.2 a change in the law, your (and your surety's) financial position,
lose any of our rights herein. circumstances and/or industry within which we operate may have the effect of
9. Early settlement of the Agreement altering the basis upon which the Agreement was or is given and secured.
9.1. If this Agreement is a small or intermediate agreement you may settle 12.3 If an event or circumstance or series of events or circumstances occurs
this Agreement in full at any time, with or without notice, by paying the (including without limitation a change in law or your financial position) which
settlement value owed to us. The settlement value will be calculated as follows: has or may have an Adverse Material Effect, we may, at our election, by giving
9.1.1. the unpaid balance of the Principal Debt; and you written notice, change the terms of this Agreement with you and/or regard
9.1.2. the unpaid interest and all other fees and charges payable by you to us such Material Adverse Effect as being an event of default of this Agreement.
until the settlement date. 12.4 Should we elect to change the terms of the Agreement and if you do not
9.2. If this is a large agreement, you may settle this Agreement in full at any accept the new terms proposed, within the period advised by us in our written
time, with or without notice, by paying the settlement value owed to us. In such notice in clause 12.3, then the provisions of clause 13 below will apply.
event, the settlement value will be calculated as follows: 13. Breach
9.2.1. the amounts referred to in clause 9.1. above; and 13.1. If:
9.2.2. an early termination charge which may be prescribed from time to time, 13.1.1. you do not comply with any of the terms and conditions of this
or if no charge has been prescribed, a charge equal to no more than the Agreement (all of which you agree are material); or
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interest that would have been payable under the Agreement for a period equal 13.1.2. you fail to pay any amounts due under this Agreement; or
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to the difference between 3 (three) months and the period of the notice of 13.1.3. you have made any misleading statements to us before signing this
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settlement if any, that was given by you. Agreement; or
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10. Debt Counselling 13.1.4. you allow any judgement that has been taken against you to remain
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10.1. If you are in financial difficulty, consider yourself over-indebted or you unpaid for more than seven (7) business days; or
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feel that credit was recklessly granted to you, you are encouraged to talk to us 13.1.5. you are sequestrated or liquidated, or perform an act of insolvency in
and we will endeavour to help you. terms of the Insolvency Act 24 of 1936; or
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10.2. If you are not a juristic person, you have the right to apply to a debt 13.1.6. you enter into a compromise with any of your creditors; or
counsellor for assistance prior to any enforcement action being taken against 13.1.7. you, being a natural person, die, or being a juristic person, undergo a
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10.3. An application for debt review in terms of the Act may not be made if we 13.1.8. any collateral that you have provided as security in terms of this
have already proceeded to take steps contemplated in clause 12 below, to Agreement, has in our opinion, materially deteriorated; then we may (without
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enforce the Agreement. affecting any of our other rights) proceed with the enforcement or termination of
10.4. If your application is accepted, the debt counsellor will determine the Agreement, as set out in the Act.
whether you are over indebted. If the debt counsellor is of the opinion that you 13.2. Upon the occurrence of any of the abovementioned events, we shall be
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are over indebted, this may result in either: entitled, at our election and without prejudice to:
10.4.1. a voluntary agreement between you and us being recorded, or 13.2.1. claim immediate payment of the outstanding balance together with
10.4.2 a referral of a recommendation by the debt counsellor to the the interest and all amounts owing or claimable by us, irrespective of whether
Magistrates' Court for an order, or an order to re-arrange your credit agreement or not such amounts are due at that stage; or
or to make an order regarding reckless credit. 13.2.2. take repossession of the Goods in terms of an attachment order,
10.5. If a recommendation by a debt counsellor is accepted by us and each retain all payments already made in terms hereof by yourself and to claim as
credit provider, such recommendation will be recorded in the form of an order liquidated damages, payment of the difference between the balance
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and if you and each credit provider concerned consent, it will be filed as a outstanding and the market value of the Goods determined in accordance with
consent order by the debt counsellor. clause 11.5.2.3, which amount shall be immediately due and payable.
10.6. If your application is rejected by the debt counsellor, you have 20 13.3. If we elect to enforce the Agreement, a notice will be sent to you, which
(twenty) business days from the date of such rejection, to apply to a will set out:
Magistrates' Court for an appropriate order. 13.3.1. the details of your default;
10.7. If you are in default of your obligations and you have a pending 13.3.2. the period within which we require you to rectify the default; and
application for debt review with a debt counsellor, we may give notice to 13.3.3. your rights to refer this Agreement to a debt counsellor, alternative
terminate such review after 60 (sixty) business days. dispute resolution agent, Consumer Court or an Ombudsman with jurisdiction,
11. Voluntary Surrender with the intention of resolving any disputes or developing and agreeing on a
11.1. You may terminate this Agreement at any time by giving us written plan to bring your payments under this Agreement up to date.
notice and by surrendering the Goods to us. 13.4. Any legal proceedings will not be commenced against you unless:
11.2. Once we are in possession of the Goods, we will within 10 (ten) 13.4.1. You have been in default for at least 20 (twenty) business days;
business days appoint an appraiser to value the Goods, and we will advise you 13.4.2. At least 10 (ten) business days have elapsed since the default letter
of the valuation. or notice referred to above has been delivered (which 10 (ten) business day
11.3. You may withdraw your written termination of the Agreement within ten period may run concurrently with the 20 (twenty) business day default period);
(10) business days after receiving the valuation, and resume possession of the 13.4.3. You have failed to respond to the default letter or you have responded
Goods, unless you are in default with your obligations under the Agreement, or by rejecting our proposal;
you may request us to sell the Goods. 13.4.4. You have not surrendered the Goods to us in terms of Section 127 of
11.4. If you do not respond to the valuation notice within ten (10) business the Act.
days of having received it, we will proceed to sell the Goods. 13.5. Should we elect to terminate this Agreement in terms of Section 123
11.5. After selling the Goods, we shall: of the Act, the same procedure set out in 13.3 above, will be followed prior
11.5.1. credit or debit you with a payment or charge equivalent to the thereto.
proceeds of the sale, less any expenses reasonably incurred by us in 13.6. Before termination of the Agreement you are entitled to reinstate the
connection with the sale of the Goods; and Agreement in respect of which you are in default, by paying all overdue
11.5.2. give you a written notice stating the following: amounts, as well as our permitted default charges and reasonable costs up to
11.5.2.1. the settlement value of the agreement immediately before the sale; the time of reinstatement.
11.5.2.2. the gross amount realised on the sale; 13.7. When you are in default, you will be liable for default administration
11.5.2.3. the nett proceeds of the sale after deducting our permitted default charges and collection costs in terms of the Supreme Court Act 59 of 1959
charges and reasonable costs allowed under 11.5.1.; and or the Magistrate's Courts Act 32 of 1944 and/or the Debt Collectors Act 114 of
11.5.2.4. the amount credited or debited to your account. 1998 and/or the Attorneys Act 53 of 1979, whichever may be applicable.
11.6. You will be liable to us for any amount that is outstanding after the 13.8. If we sell the Goods pursuant to an attachment order or you surrender
Goods have been sold, our reasonable costs incurred in connection with the the Goods to us, and the net proceeds are insufficient to settle all your
sale of the Goods and for interest calculated on these amounts, from the date obligations under the Agreement, we may approach the court for an order
Initial
Account No 85256790869 Date & time produced 2017/01/16 04:29 PM
R Ref No:
VAT Registration No 4210102051
Date/Time: 2017/01/16 04:29 PM
Old Account No: REW35295X
New Account No: 85256790869
NCRCP20
enforcing any of your remaining obligations under this Agreement. ITC Wanderers Offce Park, (011) 214 6000
14. Total Loss of the Goods 52 Corlett Drive
14.1. If the Goods are damaged, lost or stolen you must immediately advise Illovo, Johannesburg
us in writing, and lodge an insurance claim with the insurer of the Goods.
14.2. If the Goods:
14.2.1. cannot be repaired or replaced; or Oakhurst Building, (011) 645 9106
14.2.2. are disposed of by you and is not recovered within 21 (twenty one) XDS 11-13 St Andrews Street,
business days; or Parktown,
14.2.3. are forfeited to the State, then this Agreement will terminate and we Johannesburg
will institute proceedings against you in terms of clause 13.
15. Appropriation Experian Experian House,
15.1. We may at any time, before or after termination of this Agreement, in our Ambridge Office Park (011) 799 3400
discretion, appropriate or reappropriate any monies received from you towards Vrede Avenue
the reduction of any amounts owed by you to us in terms hereof. Douglasdale
16. Cession and Assignment
16.1 Unless otherwise agreed, you may not transfer any of your rights and/or 20.1.7. If you are unable to contact the credit bureau due to any change in its
obligations. contact details, you may contact us for assistance.
16.2 We may without notice to you, transfer any of our rights and/or 20.1.8 We may provide a settlement value to any third party to whom you may
obligations and you agree that you will recognise the transferee's rights. wish to sell the Goods and to any governmental agency that may request same
17. Costs and Fees in the prescribed manner.
17.1 You agree to pay an initiation fee, which is a fee charged for the 20.1.9 This Agreement has been explained to you and you understand and
preparation costs of this Agreement, and that you were given the option of appreciate the costs, risks and obligations associated herewith.
either paying this fee in cash or having it included in the Principal Debt. If it is 20.1.10 As at the date of your application for finance, you have not taken up
included in the Principal Debt, interest will be charged thereon. any additional credit.
17.2 You agree to pay the monthly service fee, which is a monthly fee 20.1.11 You hereby choose us as your agent for arranging the services set out
charged on the due date, for the routine monthly administration of your in section 102 of the Act, and you agree that the value of those services are
account. If you do not pay this fee on time, it will be added to the outstanding included in the Principal Debt.
balance and interest will be charged thereon. 20.1.12 You have received a copy of the Agreement.
17.3 You will also be liable for the default administration and collection costs 20.1.13 You have the right to resolve any dispute that may arise between us by
arising from your failure to comply with any of the terms and conditions of this way of alternative dispute resolution, or to file a complaint with the National
Agreement and for legal costs and collection commission on all payments Credit Regulator, Banking Ombudsman or to make an application to the
made by you if the matter is referred to an external debt collection company or Tribunal
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attorney. Default administration costs will be charged for every necessary letter
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that we address to you at the rate of the undefended tariff set out in the The contact details are:
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Magistrate's Courts Act 32 of 1944, plus the cost of postage or delivery, and WESBANK Complaints line:
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collection costs will be limited to the amounts incurred by us in the collection of Tel no: 0861 288 272; email: info@wesbank.co.za
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amounts due to us under the Agreement as set out in Chapter 6, Part C of the
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18.1 You agree that the postal/email address that you have provided on the Banking Ombudsman:
Quotation/Cost of Credit is the address where we must send all post and other
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communication to you and that such communications will be binding on you. Postal Address
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18.2 You agree that the physical address that you have provided on the PO Box 87056, Houghton, 2041, South Africa
Quotation/Cost of Credit is the address that you have selected as the address
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phone numbers. If you fail to give notice of a change of address, we may use Telephone Number
the last address we have for you. Telephone : 011-712-1800 , Share call : 0860-800-900
18.4 You accept that you will be deemed to have received a notice or letter
five (5) business days after we have posted it to either of the addresses you Fax 011-483-3212
have given to us.
19 Take-a-Break E-mail info@obssa.co.za
19.1 If you have elected the Take-a-Break repayment plan, then you
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If, after reading the Agreement and after we have explained it to you, you
are still uncertain of your rights and your financial risk and obligations,
we recommend that you obtain independent advice.
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Witness
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Name of Consumer
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_________________________________________
for the Credit Provider
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Witness
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Initial
Account No 85256790869 Date & time produced 2017/01/16 04:29 PM
COMPLAINT RESOLUTION PROCEDURE
Ref No:
Date/Time: 2017/01/16 04:29 PM
Old Account No: REW35295X
New Account No: 85256790869
NCRCP20
FOR THE INFORMATION OF OUR CUSTOMERS
1. BACKGROUND
WesBank, a division of FirstRand Bank Limited places a high priority on customer satisfaction, and this priority extends to the effective and efficient
resolution of customers' complaints. To this end, we have developed a complaints resolution procedure. This document aims to assist customers
who wish to lodge a FAIS complaint.
contravened or failed to comply with the Act and which conduct has led to (or could lead to) the complainant suffering financial prejudice
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or damage;
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wilfully or negligently rendered a financial service that is likely to result in the complainant suffering financial prejudice or damage; or-
treated the complainant unfairly.
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2. COMPLAINTS POLICY
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WesBank, a division of FirstRand Bank Limited has commited itself to resolve customer complaints by -
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Complaints, in writing, and supporting documentation may be submitted to any WesBank, a division of FirstRand Bank Limited
office or may be sent to:
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We will acknowledge receipt of the complaint in writing and will endeavour to resolve the complaint within a reasonable time.
If the complaint remains unresolved for six (6) weeks after it has been submitted to the compliance officer, we will notify you of
this in writing. You will also be advised that you may refer the matter to the FAIS Ombud and his/her contact details will be
provided.
If you choose to approach the FAIS Ombud, you must do so within six (6) months of sending your initial complaint to the
compliance officer.
NCRCP20
I, the undersigned
1. I confirm that my source of funds to finance the deal/contract is derived from the following source/s:
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Commission Interest Earned
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90
04 um HE t en
Pension Donations
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Grant Investments
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Signature Date