DECLARATION AND CONSENT
I/We, the undersigned declare that the information provided in this application form is to the
best of my/our knowledge true and complete.
I/We also understand that any wilful misrepresentation of the information in this application
form will disqualify my/our application and may lead to legal action against me/us including
the laying of criminal charges against me/us as sureties as well as against the entity I/we
represent for furnishing false statement or information to the Department of Small Business
Development (DSBD), Small Enterprise Finance Agency (SOC) Ltd (sefa) and Small
Enterprise Development Agency (SOC) Ltd (seda) hereto referred as the DSBD Portfolio.
I/We hereby grant the DSBD Portfolio consent to perform an entity/personal search and
check on my/our records with any other party (e.g. credit bureau and/or a government agency)
relating to this application.
I/We further authorise the DSBD Portfolio to disclose my/our personal information to these
parties to obtain the information they require and acknowledge that the DSBD Portfolio will
never disclose more information than they are required to.
DSBD Portfolio warrants that it will treat your personal information as confidential and take
all necessary steps to protect your information as required by the Protection of Personal
Information Act of 2013.
DSBD Portfolio will only disclose your information if:
• The law requires us to do so;
• It is in the public interest to do so;
• Our interests require disclosure; or
• You have given us your consent.