Pre-Agreement Statement, Quotation And Agreement In Terms Of Section 92 Of The National Credit Act, 34 Of 2005 printable pdf download

PART A

Version 2.00 – Valid from 15/08/2011

“Pre-Agreement Statement, Quotation and Agreement in terms of Section 92 of the National Credit Act, 34 of 2005:

Edu-Loan (Pty) Ltd (Reg no: 1996/003961/07) (NCR no: NCRCP158) (“Credit Provider”)

Eduloan House, Constantia Park,

Call Centre:

0860 55 55 44

Tax Invoice

Cnr 14th Ave & Hendrik Potgieter Road, Weltevreden Park

Fax No:

086 633 3832

Vat no: 4550176798

PO Box 5287, Weltevreden Park, 1715

086 6333841/3

Initiation & admin fee are VAT inclusive

CONSUMER’S DETAILS

Surname:

ID No:

Name:

Tel (home):

Physical

Postal

address:

(domicile)

Code:

Employer:

Employee No:

Occupation:

Years in service:

Tel (work):

Income Status:

Permanent

Contract worker

Temporary

Email address:

Cell:

Race (Research

Black

Asian

Gender:

Female

Marital status:

Married

COP

Divorced

Single

and Reporting

Coloured

White

Male

Widowed

ANC

No. of Dependants

on Statistics):

STUDENT’S DETAILS

Surname:

Full names:

ID No:

Student No:

Tel (Work):

Email address:

Cell:

Course studying:

Year of study:

Educational

Applying for:

Certificate

Diploma

Degree

Honours

Masters

institution:

Faculty:

CONSUMER’S INCOME DETAILS

Basic salary excluding overtime and bonus:

COMMENTS RELATING TO INCOME

Nett salary excluding overtime and bonus:

Other income (e.g. maintenance, pensions, etc. - please provide proof):

Total monthly income:

Total monthly expenses (e.g. food, clothes, insurance, housing, etc.):

Total monthly disposable income:

PAYMENT HISTORY

Are you currently under or have you applied for debt review?

Yes

No. Do you have any rearrangement in place with a credit provider as a result of debt counselling?

Yes

No.

Do you have any dispute in progress with a credit bureau?

Yes

No. Do you have a curator bonis (Legal Guardian)?

Yes

No. Are you under administration?

Yes

No.

If married in community of property, is your spouse currently under debt review or has he/she ever applied for a debt review?

Yes

No.

QUOTATION

(This Quote is valid for 5 business days and becomes an Agreement and Repayment schedule when signed by the Consumer and Credit Provider.)

Call 0860 55 55 44 for assistance in completing this section

Book Loan

Loan amount:

Signature for Quotation

Signature of Credit

Study Loan

Interest: Fixed Rate

Purposes (Consumer)

Provider Representative

Total monthly service fees

Payment of the loan amount is made directly by the Credit Provider to the Service Provider.

(included in instalment; incl. VAT):

If the Student cancels his/her studies at the Service Provider, any credit on the Student’s

Initiation fee

account will be credited to Eduloan’s account to offset admistration costs incurred.

(included in instalment; incl. VAT):

Total amount repayable:

Commission agent code:

Number of instalments (months):

Monthly instalment:

ID:

Agent’s Name:

Annual Effective Rate:

DEVELOPMENT AGREEMENT BETWEEN EDULOAN AND THE CONSUMER AND REPAYMENT AUTHORITY DETAILS

The Parties agree that the Credit Provider will advance the Loan Amount to the Consumer and pay it to the above Service Provider for the above student.

The Consumer undertakes to repay the Total Amount in the number of monthly instalments as detailed above in terms of the authority below. The Consumer hereby authorises his/her Employer specified above to deduct the monthly

instalments from his/her salary. Any charges levied by the Employer to effect the salary deduction will be for the account of the Consumer and the Employer will recover the costs directly from the Consumer’s salary. If this salary

deduction is deducted through inter alia Persal/Persol/SASSA system, the deduction will be deemed to be administered by the Credit Provider on behalf of the Educational Intitution indicated above.

If the Credit Provider does not have a deduction agreement with the Consumer’s Employer or if a salary deduction can not be executed, the Consumer authorises the Credit Provider to deduct the monthly instalments from the following

bank account via a debit order.

Name of the

Bank:

account holder:

Branch code:

Account No:

Type of account:

Date of first deduction

Date of deduction:

from Salary or Bank Account

The Consumer agrees that the Credit Provider may change the date of deduction if the agreed upon date is not a business day.

MARKETING OPTIONS (Consumer to indicate preferences)

The Consumer opts to be included in all the Credit Provider telemarketing

The Consumer opts to be included in the distribution of the Credit Provider

■

Yes

■

campaigns.

SMS and email messages.

The Consumer opts to be included in marketing/customer

Yes

■

lists sold/distributed by the Credit Provider.

By signing this the Consumer confirms acceptance of the quotation and that a binding agreement is concluded on the above Terms and Conditions read with Part B

hereof, the contents of which are deemed to be incorporated herein, unless the Credit Provider rejects the application, in which case the Consumer will be advised

accordingly in writing or electronically. The loan will only be made available to the Consumer subject to the Credit Provider undertaking an assessment and being

satisfied that the Consumer can afford the loan.

Consumer

Spouse

Credit Provider Representative

Witness 1

Witness 2

(if married in COP to consumer)

M M