General Information

Full registered company name

Trading name (if not as above)

Company Type -- Company Type --Public Company(pty) CompanyClose CorporationPartnershipSole Ownership

Date of Registration

Registration Number

Are there any pending legal proceedings or judgements against the firm? -- Are there any pending legal proceedings or judgements against the firm? --YesNo

Physical Address

Postal Address

Address Code

Address Code

Tel Number

Fax Number

Cell Number

Email Address

Directors/Members/Partners/Owners

Name of Director/Member/Partner/Owner 01

Name of Director/Member/Partner/Owner 02

ID Number of Director/Member/Partner/Owner 01

ID Number of Director/Member/Partner/Owner 02

Nature of Business

Finance Details

Maximum Credit Required – Per Month R

Account type -- Account type --CODCurrentWeekly30 Day

Trade References (Name & Number)

Trade Reference Name 01

Trade Reference Tel Number 01

Trade Reference Name 02

Trade Reference Tel Number 02

Trade Reference Name 03

Trade Reference Tel Number 03

Trade Reference Name 04

Trade Reference Tel Number 04

Bank Details

Bank

Branch

Branch Code

Bank Account Number

Conditions of Credit:

1. Any credit facility that may be granted may be withdrawn at any time without notice. 2. Payment of any credit granted shall be strictly 30 days, and should that payment not be made within such period Naskar Spares and Accessories (Silverton) CC shall be fully entitled to forthwith institute legal proceedings for the recovery of such moneys as are due and owing without any notice. 3. In the event of such legal proceedings arising you hereby agree to pay the Plaintiff’s costs on an Attorney and Client Scale and furthermore hereby consent to the jurisdiction of the Pretoria Magistrates Court.

Your Full Name

I hereby certify that I am duly authorised to sign this Credit Application and record that I agree to the terms and conditions set out in Conditions of Credit above.

Signed By

Date

Suretyship

I/We by my/our signature hereto bind myself/ourselves jointly and severally in my/our personal capacity/ies as surety and co-principal debtor in solidum with the Applicant to the creditor for the payment to the Creditor and fulfilment of all obligations owed to the Creditor by the Applicant, past, present or future, from whatever cause arising including for losses and damages. This suretyship shall be a continuing one and, I/we can only be released in writing by the Creditor.

I/We hereby renounce the benefits of the legal exeptions “non causa debiti”, “ardinis seu et divisionis” amd “cession of action” with the force and meaning and effect of the liabilities and/or obligations of the Applicant to the Creditor. I/We acknowledge that this suretyship shall be in addition to and without prejudice to any other suretyship/s or security/ ies now or at any time hereafter held by the Creditor in respect of the liabilities and/or obligations of the Applicant to the Creditor.

I/We acknowledge that this deed of suretyship has been prepared in a form for signature by more than one surety and accordingly acknowledge further that each surety who signs it acknowledges and records that notwithstanding the fact that it provides for signature hereof by other sureties, there is a separate, distinct and independent contract or suretyship brought into existence by each surety who does sign it. Accordingly if for any reason any surety to sign this deed of suretyship for any reason whatsoever, or of the suretyship shall for any reason cease to be or if not binding on any one or more of the sureties, then the obligations of the other/s shall be and continue to be binding and remain of full force and effect in terms hereof.

Your Full Name

Your ID Number

Date