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ANNEXURE B – Consent Form
I, the undersigned
[Insert consumer’s full name and surname]
Identity Number
I do hereby appoint
IGrow Homeloans
(“my Representative”) to be my lawful
representative and agent in my name, place and stead, to obtain a copy of my personal credit report (“PCR”)
from Registered Credit Bureau (Pty) Ltd, to be used solely for the following purposes – (a) providing me with
advice or assistance with managing my credit, by having reference to the content of my PCR; (b) challenging
the accuracy of information contained on my PCR; and (c) investigating information held on me by the
registered credit bureau.
I consent to the Registered Credit Bureau releasing a copy of my PCR in PDF or XML format to my
Representative and to my Representative having sight of the content of my PCR for the above purpose.
Furthermore, I consent to my Representative providing all personal information provided by me to it in
relation to accessing my PCR to the registered credit bureau for purposes of updating my credit record.
My Representative may request my PCR from the registered credit bureau on condition that s/he undertakes:
(a) not to store, host, retain, resell, on-sell or make available my PCR to any third party or agent, or use my
PCR to compile any other databases; (b) not to amend or add any information on my PCR or deal with my
PCR in contravention of any applicable laws; (c) not to use any information contained on my PCR for any
other reason, save that set out in clause (a) to (c) above; (d) to destroy my PCR immediately after it has
served the purpose for which it was obtained on my behalf; (e) to provide to Registered Credit Bureau with
the name of all persons who will have access to my PCR for as long as it’s in my Representative’s possession,
before it is destroyed.
I am aware that I am entitled to one free PCR per year from any registered credit bureau and that I can
obtain my free PCR by contacting the credit bureau directly, either telephonically, by way of email, fax or
attending on the office of the credit bureau in person. I am aware that I have the right to challenge the
accuracy of any information contained on my PCR directly with a credit bureau. Attached to this is a
Consent Form and a copy of my ID document. I confirm that the information furnished herein to the
registered credit bureau is true and correct.
Signed at on this day of
Consumer / Client Signature:
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signature
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