National Credit Act, 2005 (Act No. 34 of 2005)

Regulations

National Credit Regulations, 2006

Annexure A : Forms

National Credit Regulator
Purchase cart Previous page Return to chapter overview Next page

 

FORM: 46

APPLICATION FORM FOR REGISTRATION AS A PAYMENT

DISTRIBUTION AGENT IN TERMS OF SECTION 45 OF THE

NATIONAL CREDIT ACT 34 OF 2005, AS AMENDED

 

General information

 

The applicant must submit the completed application form together with the required documentation and application fee to the National Credit Regulator.

 

PART 1 APPLICANT'S INFORMATION

 

1. Name of applicant

 

2. Trading name of applicant

 

3. Legal status
3.1 private company
3.2 public company
3.3 close corporation
3.4 co-operative

 

4. Companies and Intellectual Property Commission (CIPC)/other official registration number

 

5. Date of commencement of trading

 

6. Financial year-end

 

7. Income tax registration number

 

8.Vat registration number

 

9. Which, if any, other regulated activity does the applicant engage in?
9.1 Banking
9.2 Insurance
9.3 Debt collectors
9.4 Financial advisory
9.5 Other (specify)

 

10. Contact detail of the applicant

Physical address

Postal address

Telephone

Fax number

E-mail address (if applicable)

 

11. Name of auditor/independent reviewer/compiler

Telephone number

Fax number

E-mail address

Practice number

Name of professional body registered with (if applicable)

 

12. Name of attorney

Telephone number

Fax number

E-mail address

Practice number

Name of professional body registered with

 

13. Compliance

Does the applicant comply with protection of personal information (POPI)?

Does the applicant comply with the payment system in South Africa?

 

PART 2 EDUCATION & EXPERIENCE

 

1. EDUCATION

 

Qualification

Year achieved

Institution that issued the qualification (attach certified copies of certificates)

 

2. EXPERIENCE

 

Name of employer / self-employed

Date of employment

Position held

Responsibilities

Contact details

 

PART 3 QUESTION, CONCERNS AND COMPLAINTS

 

1. Do you have a policy in place to handle questions, concerns and complaints?

 

2. Does this policy outline your commitment to handle questions, concerns and complaints as well as your internal systems and procedures for resolving questions, concerns and complaints?

 

3. Do these internal systems and procedures ensure that questions, concerns and complaints from consumers or credit providers are treated in a timely, efficient and courteous manner?

 

4. Do you have sufficient human resources to handle questions, concerns, and complaints from consumers and credit providers?

 

5. Is your human personnel adequately trained to handle questions, concerns, and complaints?

 

6. Are you prepared to train professional employees in accordance with these Regulations?

 

7. Are your facilities accessible to consumers and credit providers?

 

PART 4 DECLARATION BY APPLICANT

 

1. The applicant hereby permits the National Credit Regulator or any person authorised by the National Credit Regulator, as set out in section 50(2)(a) to enter any place at or from which the applicant conducts the registered activities during normal business hours, to conduct reasonable enquiries for compliance purposes, including any act contemplated in sections 156(1)(d) to (h) of the Act.

 

2. The applicant confirms that the information contained in this application is accurate and complete.

 

 

 

 

FORM: 47

APPLICATION FORM FOR REGISTRATION AS  AN ALTERNATIVE

DISPUTE RESOLUTION AGENT IN TERMS OF SECTION 134 A OF THE

NATIONAL CREDIT ACT 34 OF 2005, AS AMENDED

 

General information

 

The applicant must submit the completed application form together with the required documentation and application fee to the National Credit Regulator.

 

PART 1 APPLICANT'S INFORMATION

 

14. Name of applicant

 

15. Trading name of applicant

 

16. Legal status
3.5 private company
3.6 public company
3.7 close corporation
3.8 co-operative

 

17. Companies and Intellectual Property Commission (CIPC)/other official registration number

 

18. Date of commencement of trading

 

19. Financial year-end

 

20. Income tax registration number

 

21.Vat registration number

 

22.Which, if any, other regulated activity does the applicant engage in?

 

Specify:

 

23.Contact detail of the applicant

Physical address

Postal address

Telephone

Fax number

E-mail address (if applicable)

 

24. Name of auditor/independent reviewer/compiler

Telephone number

Fax number

E-mail address

Practice number

Name of professional body registered with (if applicable)

 

25. Name of attorney

Telephone number

Fax number

E-mail address

Practice number

Name of professional body registered with

 

26. Compliance
•Does the applicant comply with protection of personal information (POPI)?
•Does the applicant comply with the payment system in South Africa?

 

PART 3 QUESTION, CONCERNS AND COMPLAINTS

 

8. Do you have a policy in place to handle questions, concerns and complaints?

 

9. Does this policy outline your commitment to handle questions, concerns and complaints as well as your internal systems and procedures for resolving questions, concerns and complaints?

 

10. Do these internal systems and procedures ensure that questions, concerns and complaints from consumers or credit providers are treated in a timely, efficient and courteous manner?

 

11. Do you have sufficient human resources to handle questions, concerns, and complaints from consumers and credit providers?

 

12. Is your human personnel adequately trained to handle questions, concerns, and complaints?

 

13. Are you prepared to train professional employees in accordance with these Regulations?

 

14.Are your facilities accessible to consumers and credit providers?

 

PART 4 DECLARATION BY APPLICANT

 

3. The applicant hereby permits the National Credit Regulator or any person authorised by the National Credit Regulator, as set out in section 50(2)(a) to enter any place at or from which the applicant conducts the registered activities during normal business hours, to conduct reasonable enquiries for compliance purposes, including any act contemplated in sections 156(1)(d) to (h) of the Act.

 

4. The applicant confirms that the information contained in this application is accurate and complete.

 

[Annexure A(National Credit Regulator) inserted by Notice No. R. 202, GG 38557 dated 13 March 2015]