Section 11 and 12

National Credit Regulator
FORM 39 STATISTICAL RETURN
1	Name of Registered Entity
2	NCR Registration Number
3	Start of reporting period			dd/mm/yyyy
4	End of reporting period			dd/mm/yyyy
Other Credit Agreements
Section 11 Credit Agreement Flow
11.1 Value and Volume according to size bands
			up to R1500	R1500-R3000	R3.1K-R5K	R5.1K-R10K	R10.1K-R20K	R20.1K-R40K
Rand Value
Number of loans
AVE Term
11.2 Value and Volume according to size bands Continued
			R40.1K-R60K	R60.1-100K	R101K-R150	R151K-R200	R201K - R400K	>R400K
Rand Value
Number of loans
AVE Term
11.3 Value and Volume according to nature of security (if secured)
		Vehicle	Furniture and other durable goods	Insurance policy	Retirement benefits	Other security	No security	Total
Rand Value
Number of loans
AVE Term
11.4 Gender, Low income, Historically disadvantaged persons, Low density areas
						Number	Rand Value
Number of applications received from HDPs (Black, Coloured & Indian)
Number of applications from HDPs rejected
Credit agreements entered into with HDPs
Credit agreements entered into with low income people
Credit agreements with persons residing in low density areas
Credit agreements with women
Credit agreements with juristic persons
Credit agreements with small businesses
11.5 Income Categories - Gross monthly income of individual
		R0 - R3500	R3501-R5500	R5501-R7500	R7501-R10K	R10.1K- R15K	>R15000	Total
R Value
Number
Section 12:   Summary of Debtors book
					Pre NCA		NCA Book
Total gross value of debtors book at period end (Exclude unearned)
Minus: Total provision for doubtful debt on last day of period
Equals: Net value of debtors book on last day of period
Number of accounts that make up the debtors book
Rand value of write-offs during period
Number of accounts written-off during period
Number of repossessions (i.e. vehicles and furniture repossessions)
Number of settlements against policies or pension fund reserves
		Age Analysis of the total Gross Debtors Book (Pre-NCA and NCA book combined)
		Current	30 Days	31 - 60 Days	61- 90 Days	91-120 Days	120+ Days	Total
R Value
Number