Declaration By Client
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A: I am not a minor
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B: I have never been declared mentally unfit for court
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C: I am not subject to an administration order
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D: I do not have any current application pending for the debit restructuring or allevation
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E: I do not have any current debt re-arrangement in existence
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F: I have not previously applied for a debt
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G: I am not under sequestration
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H: I do not have applications pending for credit nor open quotations as envisaged in section 92 of the National Credit Act
I here by give consent to the Credit Provider to make enquiries about my credit record with any credit agency and to obtain whatever information on me they might require to process the credit application.
I hereby declare that all of the above information is true and correct.
