Section 1 and 2

Section 1 and 2

National Credit Regulator

FORM 39 STATISTICAL RETURN

1 Name of Registered Entity

2 NCR Registration Number DTI CIPRO No

3 Start of reporting period dd/mm/yyyy

4 End of reporting period dd/mm/yyyy

5 Name/ designation of person who completed this form

6 E-Mail

7 Contact telephone number Code Number

Summary of All Credit Agreements

Section 1: Summary of Credit Agreements

Information provided in Section 1 relate to credit agreements entered into during the reporting period (new agreements and limit increases on credit facilities)

1.1 Applications and rejections

1.1.1 Number of applications for credit received during reporting period Number

1.1.2 Number of applications rejected Number

1.2 Credit agreements entered into

1.2.1 Total Rand value of credit transactions entered into (during reporting period)             R

1.2.2 Total Number of credit transactions entered into during period             Number

1.2.3 Total value of credit facilities (new limit values and limit increases) R

1.2.4 Total number of credit facilities entered into (new and limit increases) Number

1.3 Provincial distribution of credit agreements and credit facilities entered into

Eastern Cape Free State Gauteng KwaZulu Nat. Limpopo

1.3.1 R' value of credit transactions

1.3.2 R' Credit facilities (new& limit increases)

Mpumalanga Northern Cape North West Western Cape

1.3.3 R' value of credit transactions

1.3.4 R' Credit facilities (new& limit increases)

Note    that the total of all the blocks in 1.3 will equal the totals for Rand value in 1.2

1.4 Gender, Low income, Historically disadvantaged persons

Number Rand Value

1.4.1 Number of applications received from HDPs ¹

1.4.2 Number of applications from HDPs rejected

1.4.3 Credit agreements with HDPs

1.4.4 Credit agreements with low income persons ²

1.4.5 Credit agreements with women

1.4.6 Credit agreements with juristic persons

1.4.7 Credit agreements with residents of Rural/ low density areas ³

1.4.8 Credit agreements with small businesses

Information provided in section 2.1 to 2.4 are numbers as at the end of the reporting period

Section 2:   Summary of Debtors Book

Pre NCA Book NCA Book

2.1 Gross value of debtors book (Exclude unearned charges)

2.2 Minus: Total provision for doubtful debt

2.3 Equals: Net value of debtors book

2.4 Number of accounts that make up debtors book

2.5 Rand value of write-offs during period

2.6 Number of accounts written-off during period

1. Historically disadvantaged persons relate to persons who are Black, Coloured or Indian

2 Low Income. Gross monthly income of up to R7500 per individual. In respect of joint applications, allocate based upon primary income earner

3 See Rural/Low density list on last page of this return and as published on NCR website under statutory reporting (Returns) 1

MAXMONEY Developed by MYCOMAX MICROFINANCE SOLUTIONS. Novamesh 18/06/2026

National Credit Regulator
FORM 39 STATISTICAL RETURN
1	Name of Registered Entity
2	NCR Registration Number					DTI CIPRO No
3	Start of reporting period			dd/mm/yyyy
4	End of reporting period			dd/mm/yyyy
5	Name/ designation of person who completed this form
6	E-Mail
7	Contact telephone number			Code		Number
Summary of All Credit Agreements
Section 1: Summary of Credit Agreements
Information provided in Section 1 relate to credit agreements entered into during the reporting period (new agreements and limit increases on credit facilities)
1.1 Applications and rejections
1.1.1	Number of applications for credit received during reporting period					Number
1.1.2	Number of applications rejected					Number

1.2 Credit agreements entered into
1.2.1	Total Rand value of credit transactions entered into (during reporting period)					R
1.2.2	Total Number of credit transactions entered into during period					Number
1.2.3	Total value of credit facilities (new limit values and limit increases)					R
1.2.4	Total number of credit facilities entered into (new and limit increases)					Number

1.3 Provincial distribution of credit agreements and credit facilities entered into
				Eastern Cape	Free State	Gauteng	KwaZulu Nat.	Limpopo
1.3.1	R' value of credit transactions
1.3.2	R' Credit facilities (new& limit increases)
				Mpumalanga	Northern Cape	North West	Western Cape
1.3.3	R' value of credit transactions
1.3.4	R' Credit facilities (new& limit increases)
Note	that the total	of all the	blocks in 1.3	will equal the	totals for Rand	value in 1.2
1.4 Gender, Low income, Historically disadvantaged persons
						Number	Rand Value
1.4.1	Number of applications received from HDPs ¹
1.4.2	Number of applications from HDPs rejected
1.4.3	Credit agreements with HDPs
1.4.4	Credit agreements with low income persons ²
1.4.5	Credit agreements with women
1.4.6	Credit agreements with juristic persons
1.4.7	Credit agreements with residents of Rural/ low density areas ³
1.4.8	Credit agreements with small businesses
	*Information provided in section 2.1 to 2.4 are numbers as at the end of the reporting period*
Section 2: Summary of Debtors Book
					Pre NCA Book		NCA Book
2.1	Gross value of debtors book (Exclude unearned charges)
2.2	Minus: Total provision for doubtful debt
2.3	Equals: Net value of debtors book
2.4	Number of accounts that make up debtors book
2.5	Rand value of write-offs during period
2.6	Number of accounts written-off during period
1. Historically disadvantaged persons relate to persons who are Black, Coloured or Indian
2 Low Income. Gross monthly income of up to R7500 per individual. In respect of joint applications, allocate based upon primary income earner
3 See Rural/Low density list on last page of this return and as published on NCR website under statutory reporting (Returns)								1