Section 13 and 14

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
Developmental Credit
Section 13 Credit Agreement Flow
Value and Volume - Credit agreements entered into during period
13.1 Value and Volume according to Juristic, Group and Individual lending
					Juristic	Group	Individual	Total
Rand  Value
Number of Loans
13.2 Value and volume according to term
Medium			<=4 months	5-12 months	12.1-24 months	24.1-36 months	>36 months	Total
Rand  Value
Number of Loans
13.3 Value and volume according to size of agreement
			R0-R1500	R1501-R3000	R3.01K-R5K	R5.01K-R10K	R10.1K-R20K	R20K-R40K
Rand  Value			R 15	R 8
Number of Loans			5	2
AVE Term			R 3	R 4	R 4
13.4 Purpose of borrowing - See definitions and S(10) of  NCA
			Small	Low Income	Education	Co-operative	Other	Total
			Business	Housing	Loan
Rand  Value
Number of Loans
AVE TERM
13.5 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
13.6 Income Categories - Gross monthly income of individual
		R0 - R1500	R1501 - R3500	R3501-R5500	R5501-R7500	R7501-R10K	R10.1K-R15K	Total
R Value
Number
Section 14:   Summary of Debtors book
					Pre NCA		NCA Book
Total gross value of debtors book at period end (excl. 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
		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