Section 3 and 4

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
		Mortgage Agreement
		Section 3: Credit Agreements Entered Into During Quarter
3.1 Value and volume  of credit agreements entered into during reporting period
				R0K-R50K	R51K-R100K	R101K-R150K	R151K-R350K	R351K-R700K	=R700K
Rand Value
Number
Ave Term (in months)
3.2 Gender, Low income, Historically disadvantaged persons, Low density areas
Agreements entered into during reporting period							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 persons
Credit agreements with residents of Remote/rural/ low density areas
Credit agreements with juristic persons
Credit agreements with women
Credit agreements with small businesses
3.3 Income categories - gross monthly income of individual
			R0 - R3500	R3501-R5500	R5501-R7500	R7501-R10K	R10.1K- R15K	>R15000	Total
Rand Value
Number
Section 4:   Summary of Debtors book
						Pre-NCA book		NCA Book
Gross value of debtors book at period end (excl. unearned)
Minus: 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 houses repossessed during the 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
Rand Value
Number