I Confirm that:
A. I am not a minor. B. I have never been declared mentally unfit by a court. C. I am not subject to an administration order. D. I do not have any current application pending for debt restructuring or alleviation. E. I do not have any current debt re-arrangement in existence. F. I have not previously applied for a debt re-arrangement. G. I am not unde sequestration. H. I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act. I. If any of the above is incorrect, give details: