Personal Credit Profile Application Form by cdc16374

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                                                                                   Personal Credit Profile Application Form


                                           Fax Back to 011 388-2454
                          Together with a copy of your South African Barcoded ID book


Please make the appropriate product selection and complete the price in the deposit slip

MY CREDIT PROFILE
From a credit grantor's point of view, they want to be sure that you will commit to your credit agreement. An important element that they take
into account in the decision making process is your credit profile. Your credit profile includes information on your payment history, public
record information and notification on enquiries made on your credit profile.

 For R25 you can access your credit profile in the following way:
•     Pay By Direct deposit or Internet transfer,
•     We forward your profile to you via fax or e-mail.

MY CREDIT MONITOR + MY CREDIT PROFILE
Guard against identity theft & fraud - stay informed by monitoring your profile.

Combined into one option we offer you a tool that gives you one year’s full access to your credit profile plus monitoring of all activity on your
profile for one year at only R180 per Annum (R15 per month).

Your personal credit profile is a reflection of how you as a credit user manage your accounts. Credit grantors access your credit profile when
deciding to grant or extend further credit. Accuracy is thus of utmost importance. Your profile may be in order now but what happens if it
changes tomorrow?

My Credit Monitor provides a perfect tool to use in managing your credit activities. You will be alerted via SMS or e-mail whenever something
changes on your profile.

You will receive alerts on:
•   Court record information added/deleted/reinstated or updated.
•   Default information added/deleted/updated.
•   Refer to cheque holder information added/deleted or updated.
•   Enquiries that are done on your credit profile.

12 Months Unlimited Access To Your Credit Profile!

As added value you will be able to access your credit profile as many times as you wish for 12 months. This means that you can access your
personal credit profile 24 hours a day, making this the ultimate personal credit management tool.

Maintain peace of mind for only R180 per annum (R15 per month)
•   Pay by Direct deposit or Internet transfer,
•   We forward your profile to you via fax or e-mail.




By signing this document, you are indicating that you have read, understood, accepted and agreed to be legally bound by the terms of the Agreement. A
printed version of this agreement and of any notice given in electronic form shall be admissible in judicial and administrative proceedings to the same
extent and conditions as other businesses documents originally generated and maintained in printed form.
Should you not agree to be legally bound by the terms of this agreement, you should not make use of the services offered on this site, or attempt to do so.

You must complete application. You may only complete an application on behalf of yourself, as it is illegal to order credit information for any person other
than yourself.


                                                                                                       Signature ___________________________________
TransUnion ITC has a strict privacy policy. We will not use your information to send unsolicited email. We may use your information to                         2
update certain aspects of your credit profile to facilitate the credit granting process.

Once you have completed all the information on the form for verification purposes, fax the form and the proof of payment back to
TransUnion ITC on 011 388-2454

Internet transfers should be made to the bank account details as specified on the deposit slip below. Please use your South African identity
number as your reference. Fax the form and the internet proof of payment back to TransUnion ITC on 011 388-2454

The product will be emailed or faxed back to you, according to your selection, within 8 working hours of receipt of proof of payment. Our
customer liaison officers will assist on the following number 0861 482 482.

Products and services are provided according to transUnion ITC’s standard Terms & Conditions (attached), which may be updated from time
to time. The latest Terms & Conditions will always be available on our website, www.transunionitc.co.za


PLEASE COMPLETE ALL FIELDS

Personal Details

Surname                                                                                                      Title

Forename/s                                                                                                   Initials

RSA ID Number                                                                                                Date of Birth

Gender                          Male                 Female                                                  Marital Status



Spouse Name              (if applicable)

Spouse Number            Cell No.



Current Address

Physical Address

                                                                                                                                          Code

Province                                                                                                     Country

Dwelling type                   Owner                Tenant                                                  Duration


Previous Address

Physical Address

                                                                                                                                          Code

Province                                                                                                     Country

Dwelling type                   Owner                Tenant                                                  Duration



Postal Address

Box / Pvt Bag                                                                                                                             Code
Province                                                                                                     Country



By signing this document, you are indicating that you have read, understood, accepted and agreed to be legally bound by the terms of the Agreement. A
printed version of this agreement and of any notice given in electronic form shall be admissible in judicial and administrative proceedings to the same
extent and conditions as other businesses documents originally generated and maintained in printed form.
Should you not agree to be legally bound by the terms of this agreement, you should not make use of the services offered on this site, or attempt to do so.

You must complete application. You may only complete an application on behalf of yourself, as it is illegal to order credit information for any person other
than yourself.


                                                                                                       Signature ___________________________________
                                                                                                                                                               3
Company Information

Employer Name                                                                                                Capacity

Physical Address

                                                                                                                                              Code



Contact Numbers          Office (        )                                                                   Fax No.         (        )

                         Home (          )                                                                   Cell No.

                         E-mail Address



Method of Delivery             E-mail                Fax                 SMS (Monitoring Response)



Account Information

Do you have accounts with any of the following companies?


       Joshua Doore                           Smart Centre                            Savells                                    Truworths

       Russels Furnishers                     Foschini                                American Swiss                             Jet Stores

       Bee Gees                               Morkels                                 HomeChoice                                 Markhams

       Woolworths                             Topics                                  OK Bazaars                                 Credit Indemnity

       Bonus                                  Sales House                             Pages                                      None of the above

       Consumer Credit                        Lewis Stores                            Milady’s

Product Selection

    My Credit Profile - R25                                  My Credit Monitor + My Credit Profile - R180


By signing this document, you are indicating that you have read, understood, accepted and agreed to be legally bound by the terms of the Agreement. A
printed version of this agreement and of any notice given in electronic form shall be admissible in judicial and administrative proceedings to the same
extent and conditions as other businesses documents originally generated and maintained in printed form.
Should you not agree to be legally bound by the terms of this agreement, you should not make use of the services offered on this site, or attempt to do so.

You must complete application. You may only complete an application on behalf of yourself, as it is illegal to order credit information for any person other
than yourself.


                                                                                                       Signature ___________________________________




                                                                                     Account Deposit / Remittance Advice

A division of FirstRand Bank Limited
Registered Bank - Reg. No. 05/01225/06

Date

Account Name            TransUnion ITC (Pty) Ltd                            Insert amount remitted / deposited

Branch                  Johannesburg

Branch No.              25-13-05                                            Details of Depositor

Account No.             58860016171                                         Name

Type of Account         Current / Cheque                                    Telephone No.

Reference (ID No.)                                                          Signature
                                                                                    Terms and Conditions
                                                                                                                                                                                                4
Elements of the TransUnion ITC web site are protected by SA Copyrights Law, International Convention and other laws. Reproduction, retransmission or republication, selling or
exchange in whole or in part of any information is expressly prohibited.

No trademark, logo, graphic sound or image from any TransUnion ITC web site for any business commercial or public purpose may be copied or transmitted unless expressly permitted by
TransUnion ITC.

Use of documents from this web site is for personal or single business’ own use for permissible purpose use only and will not be copied or posted on any network computer or broadcast
in any media.

No modification of documents may be made. Use for any other purpose is expressly prohibited by law, and may result in severe civil and criminal penalties. Violators will be prosecuted to
the maximum extent possible.

INDEMNIFICATION
The customer agrees to indemnify, defend and hold harmless TransUnion ITC, its subsidiaries, affiliates, officers, and employees, from any and all claims, demands, liabilities, costs or
damages including attorneys fees, asserted by any 3rd party arising out of a customer’s use of or conduct on the web site.

Furthermore the customer agrees to indemnify and hold harmless TransUnion ITC, from liabilities arising from:
Any information supplied by the customer infringing or allegedly infringing on the private rights of a 3rd party.

DISCLAIMER
The web sites operated by TransUnion ITC may contain links to other sites, TransUnion ITC is not responsible for the privacy practices or the content of such web sites. TransUnion ITC
provides these links to you only as a convenience, and the inclusion of any link does not imply endorsements by TransUnion ITC of the site. No data transmission over the Internet is 100%
guaranteed and TransUnion ITC does not warrant that your information will be absolutely secure. Any transmission of data on or through the use of TransUnion ITC site is at your own risk.

INACCURACY OF INFORMATION
There is no guarantee given as to the accuracy or currency of any individual item on the TransUnion ITC server. Whereas all possible measures are taken to ensure accuracy and currency,
TransUnion ITC does not accept responsibility for any loss or damage occasioned by use of information. All access and use is at the risk of the user.

CONTRACT
This TransUnion ITC agreement contains the complete terms and conditions between yourself and TransUnion ITC. As used in this agreement “we” “our” “us” means TransUnion ITC, “you”,
“your” means the applicant. This is a legal agreement between yourself and TransUnion ITC. By using any TransUnion ITC information system, you are indicating you have read this
agreement and you understand, accept and agree to be bound by it.

1.   You may visit this web site on condition you accept all of the terms, conditions, and notices contained herein without alteration.
     1.1 You may not modify, copy, distribute, transmit, display, perform, produce, publish license, create derivative works from, transfer or sell any information obtained anywhere on this
         web site without express written permission from TransUnion ITC.
     1.2 By using this site you warrant explicitly that you will not use this web site for any purpose that is unlawful or prohibited in SA or International Law or is in contradiction to the terms
         and conditions contained in this agreement.
     1.3 You must complete an application. You may only complete an application on behalf of yourself, as it is illegal to order credit information for any person other than yourself.
     1.4 We will evaluate your application in light of the following eligibility criteria.
         - You provide us with complete and accurate information about yourself in your application that we are able to verify.
         - You provide us with valid credit card information for payment.
         - You agree to be bound by this agreement.
         - We are otherwise able to process your application.

2.   Upon approval of your Application, we agree to provide you with the following personal and credit information - A copy of your current TransUnion ITC credit profile delivered online.

3.   PAYMENT FOR SERVICES
     3.1 You agree to pay us the prices for products as advertised on the TransUnion ITC website.
     3.2 You authorise us to charge your credit card, using the credit card information you provide in your Application for the fee set forth above.
     3.3 As payment cannot be reversed, TransUnion ITC will not be held responsible if you fail to pass both the automatic and backup manual verification process owing to a fraudulent
         attempt to access information which is not your own.

4.   Your rights under the CBA Code of Conduct. You are entitled to receive a copy of your TransUnion ITC credit profile or dispute information therein. You have the right to obtain this credit
     profile at a nominal fee. For more info on the Code of Conduct, please refer to the full document which is published on the TransUnion ITC web site.

5.   DISCLAIMER OF LIABILITY
     TransUnion ITC disclaims all warranties of any type, including any warranty of merchantability, fitness for a particular purpose and warranty of the accuracy of information contained in
     your credit profile or otherwise provided to you pursuant to this agreement. TransUnion ITC further disclaims any and all liability for negligence or lack of reasonable care and shall not
     be liable for any damages or losses whatsoever, whether direct compensatory, indirect punitive special consequential exemplary or incidental including without limitation of damages
     for loss of use, data or profits arising out of or in any way connected, incurred by yourself or any other person caused by TransUnion ITC or the services or information provided to
     yourself as a result of your application, card or use or reliance on a Digital Certificate. This limitation on damage applies to any and all liability whether based on contract, or any other
     legal principle or theory. TransUnion ITC shall not be liable for any loss or damages of whatsoever nature which may be suffered by yourself as a result of the fact that TransUnion ITC
     acts on your instructions or instructions purported to emanate from yourself.

6.   This Agreement, and all the rights and duties arising from or relating in any way to the subject matters of the Agreement, shall be governed by, construed and enforced in accordance
     with the laws of South Africa. Any summons or proceeding relating to this Agreement, including arbitration proceedings shall be brought in the Magistrate Court of South Africa. You
     hereby consent to the exclusive jurisdiction and venue of courts in Johannesburg South Africa in all disputes arising out of or relating to use of this web site.

7.   This Agreement constitutes the entire agreement between yourself and TransUnion ITC with respect to this Web site, and supercedes all prior communications and proposals between
     the user and ITC with respect to this web site.

By signing this document, you are indicating that you have read, understood, accepted and agreed to be legally bound by the terms of the Agreement. A
printed version of this agreement and of any notice given in electronic form shall be admissible in judicial and administrative proceedings to the same
extent and conditions as other businesses documents originally generated and maintained in printed form.
Should you not agree to be legally bound by the terms of this agreement, you should not make use of the services offered on this site, or attempt to do so.

You must complete application. You may only complete an application on behalf of yourself, as it is illegal to order credit information for any person other
than yourself.



I confirm that I have read and accepted the Terms and Conditions of Use and have read and understand the Privacy and Security Policy as
published on the TransUnion ITC website, www.transunionitc.co.za.



Client signature _________________________________________________                                                                 Date ___________________________________

								
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