Free Application for a Debt Review Assessment.

I hereby appoint Sibabalwe Dakana, NCRDC 3106 of The National Debt Review Center (NDRC) which has its principal place of business at 10 Newton Street, Suite 1, Adel Centre,First Floor, Newton Park, Port Elizabeth, Eastern Cape, South Africa 6055 (“the Debt Counsellor”), to be my true and lawful agent and I expressly grant the Debt Counsellor full power and authority to, on my behalf:

1. Cancel any debit orders; and/or

2. Stop payments of any debit orders & investigate any possible reckless lending againsty my accounts,

In order to facilitate the debt review in terms of section 86 of the National Credit Act, 34 of 2005

NOW THEREFORE I hereby nominate, constitute and appoint any representative of DC Credit Protect (Pty) Ltd, an authorised financial services provider, FSP No. 51550. (hereinafter referred to “DC Credit Protect”) to be my agent with full power and authority to act on my behalf to:

1. Obtain a replacement copy of any and all active credit life insurance policies, including the policy schedule, benefits summary and all other documents relating to the credit life insurance policies in my name, held at any credit provider or insurer;
2. Substitute and/or cancel any and all credit life insurance policies in my name, with another credit life insurance policy nominated by me to DC Credit Protect, as permitted by section 106(4)(a), read with section 106(6) and regulation 7 of the credit life insurance regulations; and
3. Do or perform any additional act not specifically listed above, in order to give effect to my directions contained herein.