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					                                             SURETY SOLUTIONS

COMPANY QUESTIONAIRE FOR EDUCATIONAL GUARANTEES


A.       COMPANY / BUSINESS DETAILS
Registered Name:
Registration No:                                                 VAT No:
Postal Address:
Physical Address:
Contact Numbers:            Tel:                                            Fax:
E-mail Address:
Date Commenced:                                                  End of Financial Year Date:


B.       BROKER
Registered Name:            Surety Solutions (Pty) Ltd.
Postal Address:             P. O. Box 66; Hyper-By-the-Sea; Durban; 4053
Physical Address:           21b Canford Park, 53 Anthony Road, Umgeni Park, Durban 4065
Contact Numbers:            Tel:     031-564-2411 / 3                       Fax:    031-563-9026
E-mail Address:             info@suretysolutions.co.za
Contact Person(s):          Mike Graham / Greg Graham


C.       SHAREHOLDERS / MEMBERS / PARTNERS / SOLE TRADER



                                                                                            ID No.             Married
                        Full names                               % Shares                 Co. Reg. No         ANC/COP




                                   Surety Brokers & Financial Guarantee Consultants

                                              SURETY SOLUTIONS (PTY) LTD.
                                        Company Registration No: 2001/010137/07
                                             VAT Reference No: 4960202911
                                                  FSP Licence No: 1062
                                     Director: A M Graham (ACII) ACIB & G M Graham

Tel. No: +27-31-564-2411                             21b Canford Park, 53 Anthony Road.    P. O. Box 66
Fax No: +27-31-563-9026                              Durban; 4065                          Hyper By The Sea; 4053
E-mail: greg@suretysolutions.co.za                   www.suretysolutions.co.za             Kwa-Zulu Natal, R.S.A.
D.      SUBSIDIARY / ASSOCIATED / AFFILIATED COMPANIES


                                                                                                         Bonds
              Name                    Registration No.         % Shares       Nature of business
                                                                                                     required?




E.      BANKING DETAILS


Bankers:                                                     Branch:
Account No:                                                  Period with Bank:
Cash Balance:                                                Overdraft Facility:
Overdraft Used:                                              How Secured:
Bank Bond Facility:                                          How Secured:
Bonds Outstanding:                                           Other Bankers:


Has there been, or is there likely to be, any change in the financial situation or Capital
Structure of you organization, not reflected in the financial statements attached?                 Yes      No
If Yes, please advise full details
________________________________________________________________________________________________
________________________________________________________________________________________________


Are there any material facts or circumstances which could affect your organizations
ability to meet all it’ s debts as and when they fall due?                                         Yes      No
If Yes, please advise full details
________________________________________________________________________________________________
________________________________________________________________________________________________


F.      PERSONNEL
Total permanent employees ____________________________ as at ____________________________


Key Personnel
               Name                                  Position                         Period with Company




                                                         2
Have any of the Key Personnel been a director / shareholder of a company which was liquidated or
compromised with credits?             ___________________________________________________________________
If so, please provide details on page 3 L


G.         GUARANTEE HISTORY


Who issued your Guarantee’ s previously?
Have any Guarantee’ s issued on your
behalf ever been called up? If so, supply
details
Have you applied to anyone else for this
Guarantee or facility? If yes, with whom?
Have any applications ever been turned
down? If yes, by whom & why?


H.         EXISTING GUARANTEES


     Name of Bank / Insurance Company                        Facility          Bonds Outstanding     Rate Charged




How Secured?


I.         NEW REQUIREMENTS


Required Facility:         R_____________________


To Replace Existing Facility         Yes       No            Addition to Existing Facility     Yes       No


                             Security / Collateral Offered                               Yes             No
1.        Personal Sureties – Shareholders
2.        Personal Sureties – Directors
3.        Cession of Loan Accounts
4.        Cession of Book Debts
5.        Cession or Pledge of Cash / Fixed Deposit / Bank Guarantee
6.        Cession of Life Policies
7.        Covering Bonds over Fixed Property (ies)

                                                             3
ADDITIONAL INFORMATION


Has the concerns debtors been financed?
If so, to what extent?
Financed by:
Are the debtors insured?
If so, to what extent?
Insured with:
When was your last audit or investigation by the
Department of Education? And when do you expect
your next audit or investigation?
Have any courses ever been suspended or
discontinued prior to the course being completed?
If Yes, please advise full details.
Have any current students, or former students, made
a claim against your organisation relating to your
organisations failure to deliver course curricula?
If Yes, please advise full details.


J.      LEGAL ACTION


Please note details of any legal action, summons, judgements, liquidation / sequestration orders or offer of
compromise against any shareholder or director of the company, or against the company, its holdings,
subsidiaries or associated companies.




L.      SEE SECTION F




                                                      4
M.      STUDENT AND COURSE DETAILS (Estimated – till end of calendar year)


Student Details:


Total number of Students                                    Number of International Students
Number of full time students                                Number of Domestic Students
Number of part time students                                Number of Teachers / Admin
                                                            Staff


Course Details


 Course Name       No. of Students     Course fee per           Course         Total Fees for
                   (Int / Domestic)        student            Duration (in        Course
                                                                Weeks)           Duration




N.      DECLARATION

I / We hereby declare that the details and information furnished in this application, to the best of my/our
knowledge, fairly represent the true state of affairs of the company / business and I / we authorise the
verification of any aspect of this application. I / We have not concealed any material fact relevant to this
application and this questionnaire will form the basis upon which any bond or surety may be issued.
I / We hereby declare that if the Guarantor agrees to issue bonds on my / our behalf, I / we hereby bind my /
ourselves as follows:
1. To reimburse the Guarantor for all amounts which it is called upon to pay in respect of its bonds.
2. I / We nominate, constitute and appoint the Guarantor irrevocably and in rem saum to be my / our lawful
   agent to obtain payment of and give valid receipts for any money due to me / us by way of retention or
   otherwise, whether such money became due before, at the time of or after my / our failure, default or
   breach of contract.
3. To reimburse the Guarantor for any legal or other costs and charges which may reasonably be incurred
   by them in consequence of the foregoing clauses or resulting from this application.
4. To pay the Guarantor such consideration as it may require in the form of premium for the bonds hereby
   applied for and for any extension thereof beyond the completion date stated herein.
5. To reimburse the Guarantor for any costs including valuation costs incurred in regard to bonds provided
   or to be provided.




_______________________________________                     _______________________________________
SIGNATURE                                                   DATE




_______________________________________                     _______________________________________
NAME                                                        DESIGNATION
(Duly authorised to sign this document)
                                                        5
Checklist: Guarantee Applications

                                       REQUIREMENT                                               RECEIVED

      Detailed BUSINESS PLAN and EXECUTIVE SUMMARY (electronically
       transmittable) and COMPANY PROFILE including CV’s and Certified I/D’s of
       members / directors / partners and trustees


      A RESOLUTION signed by the Directors / Members or Trustees whereby it was
       agreed that the business avail of the guarantee facility and confirming that the
       nominated signatory (ies) who will be signing this application and all documentation
       pertaining to the guarantee.


      Detailed Group Company Organogram


      2 Years Audited Financial Statements (compulsory requirement)


      Copies of the Company’ s most recent Management Accounts (in particular from
       the date of last financial statements to date)


      A Cashflow Forecast of the project / business for the next 12 months


      Company Formation Documentation:


                  Sole Proprietor:      No documentation required
                  Partnership:          Copy of the partnership agreement
                  Close Corporation:    Copy of Founding Statement (CK Documentation)
                  Company:              Certificate to commence business
                                        Memorandum of Articles and Association
                  Trust:                Copy of Deed of Trust & Letter of Authority


      Personal Statements of Assets & Liabilities of all members / partners / directors &
       trustees

      Course Details, (this must include length of time each course runs and fees payable
       in respect of each course), and a Student Handbook.




Once all the above information has been obtained, please deliver all the information to SURETY
SOLUTIONS (PTY) LTD.




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