Currency and Exchanges Act, 1933 (Act 9 of 1933)

Name and address of resident individual / branch / company /unincorporated enterprise (delete inapplicable terms - see Instructions 5 and 6 below):—

I declare that the information submitted in this return is complete and correct to the best of my knowledge

________________________________

(Signature)

____________________________ (Official position)

(1)

Returns are to be rendered to a commercial bank or the South African Reserve Bank not later than.................................................................................................................

(2)

Foreign assets and liabilities should be recorded in rand as at............................................................... and the rate used for converting foreign currencies as well as the basis of valuing securities, fixed property and inventories, should be stated at the end of this form.

(3)

Namibia, Lesotho and Swaziland should be treated as part of the domestic territory and not as foreign

[Rule 6(3) amended by Government Notice No. R 969 of 1997]

(4)

South African branches and subsidiaries of foreign companies are "residents" of South Africa for exchange control purposes and must report their position vis-à-vis their head offices or parent companies accordingly.

(5)

If doubt is experienced whether foreign activities should be regarded as those of a foreign branch, Section C below may be omitted provided that all relevant foreign assets and liabilities are reported under Sections A and B.

(6)

A share or beneficial interest in a foreign unincorporated enterprises(s) (i.e. partnerships, sole proprietorships, etc.) should be reported in Item 9 below and a copy of the latest balance sheet(s) of such enterprise(s) should be appended.

(7)

The latest balance sheet of each foreign subsidiary should be appended.

United Kingdom

Federation of Rhodesia and Nysasaland

All Other Foreign Countries

A - FOREIGN ASSETS

R

R

R

1.

Cash at foreign banks, including foreign currency notes held in South Africa or abroad ………………

2.

Current and other short-term foreign assets, including call and time deposits, bills and inter-company current accounts.

3.

Inventories and merchandise stocks located abroad (excluding stocks in transit to South Africa) ..............

4.

Investments in ordinary and limited vote-bearing shares of foreign companies (excluding shares listed on the Johannesburg Stock Exchange) ………………

5.

Investments in foreign preference shares, debentures, loan-stock and similar securities (excluding securities listed on the Johannesburg Stock Exchange) ..................

6.

Mortgages and long-term loans supplied to foreign residents ……………………..

7.

Capital balance due to head office in South Africa by a foreign branch(es) (must agree with Item 17 in the balance sheet of the foreign branch in Section C below)

8.

Fixed property ………

9.

Other foreign assets (specify)

B - FOREIGN LIABILITIES

10.

Current and other short-term liabilities to foreign residents, including inter-company current accounts and bank overdrafts abroad

11.

Debentures, loan-stock and similar securities owned or beneficially owned by foreigners ………………..

12.

Preference shares owned or beneficially owned by foreigners …………………..

13.

Ordinary and limited vote-bearing shares owned or beneficially owned by foreigners ……………………

14.

Mortgages and long-term loans (not securities) obtained from foreigners ……………………..

15.

Capital liability of a South African branch (not subsidiary) to its foreign head office (i.e. excess of assets over liabilities of the branch)

16.

Other foreign liabilities (specify) ……………………..

C – FULL BALANCE SHEET OF ALL FOREIGN BRANCHES

(NOTE.-All assets and liabilities of foreign branches, but not of subsidiaries or unincorporated enterprises, should be reported here. However, the latest balance sheets of foreign subsidiaries and unincorporated enterprises should be appended)

Foreign branches in—

United Kingdom

Federation of Rhodesia and Nyasaland

All Other Foreign Countries

17.

Capital balance due to head office in South Africa (i.e. excess of assets over the liabilities quoted below) ……………………..

18.

Current and other short-term liabilities ……………………..

19.

All other liabilities of the branches (specify) ……………………..

20.

Total of Items 17 to 19 ……………………..

21.

Fixed assets of the branch(es) ……………………..

22.

Investments in shares, debentures and similar securities ……………………..

23.

Inventories ……………………..

24.

Current and other short-term assets, including bills and cash …………….

25.

All other assets of the branch(es) (specify) ……………………

26.

Total of Items 21 to 25 …………………

D - FUTURE COMMITMENTS

Set out below the dates and amounts of important commitments (in excess of R10,000 each) to be met to the end of …………………………...... .in the case of the liabilities quoted in Sections B and C above, and also of foreign subsidiaries and unincorporated enterprises.

Item

No.

Description of Item

Due Date of Commitment

Amount towards—

United Kingdom

Federation of Rhodesia and Nyasaland

All Other Foreign Countries

R

R

R

TOTAL .......