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Home > NCA Form Test

NCA Form Test

Enquiry Form - NCA

"*" indicates required fields

I want to know more about Moonstone’s:**

NCA Registration Services (Registration of entities with the National Credit Regulator)

NCA Compliance Services (Practice Assessment & Compliance Monitoring)

NCA Advisory Services (Range of services including legal opinions and once-off compliance audits)

My current NCR registration status: **

I am already registered with the NCR

I am in the process of registering with the NCR and do not require any further assistance in this regard

I am contemplating registering with the NCR and want Moonstone Compliance and Risk Management to assist me with the application

Name of Business **

NCR number (if available)

Name of Contact Person **

Email Address **

Contact Number **

Business Address **

Business Address City / Town **

Business Address Province

Business Address Country

Please indicate as what type of registrant you would like to register:

Credit Provider

Developmental Credit Provider

Reseller Credit Bureau

Debt Counsellor

Other

If other was selected, please state the type of registrant:

How many business premises / offices will you have? **

How many directors / shareholders (being natural persons) do you have? **

Please indicate the credit provider category you would like to register for: **

Category 1 - Total principal debt equal or greater than R15 billion

Category 2 - Total principal debt equal or greater than R5 billion, but less than R15 billion

Category 3 - Total principal debt equal or greater than R1 billion, but less than R5 billion

Category 4 - Total principal debt equal or greater than R100 million, but less than R1 billion

Category 5 - Total principal debt equal or greater than R5 million, but less than R100 million

Category 6 - Total principal debt equal or greater than R1 million, but less than R5 million

Category 7 - Total principal debt equal or greater than R500 000, but less than R1 million

Category 8 - Total principal debt equal or greater than R250 000, but less than R500 000

Category 9 - Total principal debt less than R250 000 *Developmental Credit Provider*

Please indicate the credit provider category you would like to register for: **

Category 1 - Total principal debt equal or greater than R15 billion

Category 2 - Total principal debt equal or greater than R5 billion, but less than R15 billion

Category 3 - Total principal debt equal or greater than R1 billion, but less than R5 billion

Category 4 - Total principal debt equal or greater than R100 million, but less than R1 billion

Category 5 - Total principal debt equal or greater than R5 million, but less than R100 million

Category 6 - Total principal debt equal or greater than R1 million, but less than R5 million

Category 7 - Total principal debt equal or greater than R500 000, but less than R1 million

Category 8 - Total principal debt equal or greater than R250 000, but less than R500 000

Category 9 - Total principal debt less than R250 000 *Developmental Credit Provider*

Please indicate your current (or anticipated) registration category:

Credit Provider

Developmental Credit Provider

Reseller Credit Bureau

Other

If other was selected, please state the type of registrant:

Please indicate whether you are interested in: (More than 1 option can be chosen) **

Practice Assessment

Comprehensive Compliance Monitoring (Practice Assessment and Ongoing monitoring is included)

Do you have an internal compliance function and personnel? **

How many business premises / offices will you have? **

Please indicate the credit provider’s current (or anticipated) industry / business focus:

Clothing Retail

Furniture Retail

Pawnbroking

Micro Lending

Bridging Finance

Vehicle Finance

Property Finance (mortgage, home loans etc)

Bank (including mutual bank)

Developmental credit

Debt collection

Insurance

Financial advisory

Other

If other was selected, please state the type of industry / business focus:

Please indicate the credit provider’s current (or anticipated) industry / business focus:

Clothing Retail

Furniture Retail

Pawnbroking

Micro Lending

Bridging Finance

Vehicle Finance

Property Finance (mortgage, home loans etc)

Bank (including mutual bank)

Developmental credit

Debt collection

Insurance

Financial advisory

Other

If other was selected, please state the type of industry / business focus:

Please indicate your current (or anticipated) registration category:

Credit Provider

Developmental Credit Provider

Reseller Credit Bureau

Debt Counsellor

Other

Please indicate whether you are interested in advisory on: (More than 1 option can be chosen)

Rates and Fees (including unlawful or excessive fees such as ‘club fees’)

Credit Life Insurance

Marketing and Advertising

Credit assessments (including affordability assessments)

Pre-agreements and quotes

Credit agreements (including unlawful provisions)

Statement of accounts

Confidentiality of information (prescribed purposes)

Data submissions (Regulation 19(13))

Prescription of debt

Default listings (adverse information listings)

Debt enforcement (section 129)

Record retention and file assessments

Registration renewals

Annual compliance reporting (compliance, statistical, assurance)

Other

If other was selected, please state the type of registrant:

Please indicate whether you are interested in advisory on: (More than 1 option can be chosen) **

Rates and Fees (including unlawful or excessive fees such as ‘club fees’)

Credit Life Insurance

Marketing and Advertising

Credit assessments (including affordability assessments)

Pre-agreements and quotes

Credit agreements (including unlawful provisions)

Statement of accounts

Confidentiality of information (prescribed purposes)

Data submissions (Regulation 19(13))

Prescription of debt

Default listings (adverse information listings)

Debt enforcement (section 129)

Record retention and file assessments

Registration renewals

Annual compliance reporting (compliance, statistical, assurance)

Other

If other was selected, please state the area of advisory: **

Please indicate whether you are interested in advisory on: (More than 1 option can be chosen) **

Disputes and complaints process

Credit reporting process

Retention periods

Confidentiality of consumer credit information (Data security, etc.)

Prescribed purposes for issuing consumer reports (including employment purposes)

Regulation 19(13) data submissions

Document Retention

Returns and Reports (Form 43, statistical returns, etc.)

Other

If other was selected, please state the area of advisory: **

Message / Comments:

Message / Comments:

Message / Comments:

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