I confirm that:

1. I am not a minor.
2. I have never been declared mentally unfit by a court.
3. I am not subject to an Administration Order.
4. I do not have any current application/s pending for debt restructuring or alleviation.
5. I do not have any current debt re-arrangement in existence.
6. I have not previously applied for a debt re-arrangement.
7. I am not under sequestration.
8. I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.