Good Day, Sir / Madam

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1 Good Day, Sir / Madam Thank you for your interest in becoming a reseller / dealer of Pinnacle Micro (Pty) Ltd. Kindly find stated below guidelines for the completion of the respective Dealer Reseller Application for your convenience. 1. Dealer Reseller Credit Application a) Authorised signatory (100% Shareholder / Director / Member) + two (2) witnesses must initial ALL pages on the bottom right hand corner b) Authorised signatory (100% Shareholder / Director / Member) + the two witness must sign in full on the appropriate pages c) Surety + Cession must also be completed and signed in full and witnessed (two <2>) 2. Substantiating documents required (scanned copies) a) CIPRO / CIPC Company Registration documents Identifying the shareholders / Directors / Members b) Identity Documents (All) Of ALL shareholders / Directors / Signatories c) VAT Certificate d) Banking Details Confirmation We require with either; i) Cancelled Cheque, or ii) Letter on your bankers letterhead, confirming the bank details 3. Financial Information (On Request) Due to the fact that Pinnacle Micro (Pty) Ltd underwrites / insures their credit limits via Credit Guarantee Insurance Corporation of Africa Limited (CGIC), the below mentioned might be a pre-requisite for the requested credit limit review; a) Audited Financial Statements (AFS) Current Financial Year End (FYE) AFS + previous year s FYE-AFS If current FYE-AFS is not available then the previous two year s FYE- AFS b) Plus Monthly Management Accounts (MMA) Relative to point 3a And for example, if your Financial Year End (FYE) is February then we would require as follows; If FYE- AFS for is available; i) AFS ii) AFS iii) MMA For period to date (last trading month). If FYE-AFS for is NOT available i) AFS ii) AFS iii) MMA For period to date (last trading month). 4. Approval of Dealer Reseller Credit Application Please note that our turn-around time for finalization of the Dealer Reseller Credit Application is from three to ten working days from the date we receive the 100% completed Dealer Reseller Credit Application, with ALL supporting documentation. Thanking you in advance Kind Regards The Pinnacle Micro Pty Ltd - Finance Team

2 APPLICATION FOR DEALERSHIP WITH PINNACLE MICRO (PTY) LTD Trading as Pinnacle Reg No 1993/000917/07 (And/or its successors-in-title and assigns) (Hereinafter referred to as the Supplier ) In support of the application, the following particulars are furnished. SECTION A: (To be completed by ALL applicants) 1. Customer / Legal Entity Name: (Hereinafter referred to as the Customer ) Legal entity type: Mark with an (X) and provide certified copies of documents as described below your selection SOLE PROPRIETOR PARTNERSHIP REGISTERED COMPANY CLOSE CORPORATION ATTACH THE FOLLOWING COPIES: Sole Proprietor s ID Document. Bank Confirmation. Completed dealer Questionnaire. Copy of ALL Partners ID documents. Certificate of Incorporation. Bank Confirmation. Vat Certificate. Completed Dealer Questionnaire. Certificate of incorporation Certificate of name change (if applicable) Please attach certified copies of registration documents Bank Confirmation. Copy of ALL Members ID documents. Certificate of Incorporation. Bank Confirmation. Vat Certificate. Completed Dealer Questionnaire. Vat Certificate. Copy of ALL Directors ID documents. Completed Dealer Questionnaire

3 2. Statutory Information (If applicable) (a) VAT Reg no: (Please attach certified VAT certificate) (b) Company / CC Registration number: (If applicable) (Please attach certified Co Registration Document) (c) Date of Registration : (If applicable) (d) Registered office address: (If applicable) 3. Physical address: Period at this address: 4. Postal Address: Telephone number: Fax Number: Address: Web Address:

4 (Compulsory- please complete in full) 6.(a) Full Names of Principals DOB or I.D. No of Principals Residential Address (physical) of Principals Telephone No of Principals Have any of the Principals ever been declared insolvent? YES NO 6. (b) Please specify the nature of your business: CREDIT TERMS 7. Credit Limit Required: 8. Credit Term Requested: 7 Days After Statement 15 Days After Statement 30 Days After Statement Granting of credit terms are subject to financial review, insurance cover, or mitigation of risk via securities offered. The minimum credit limit that we offer is R100, (For Credit limits exceeding R150, , please provide copies of latest management accounts and audited financial statements) 9. Does the Customer trade under any other name/s? YES NO Trading Style Address Nature of Business

5 10. Trade References: Trade References Name of Contact Person Contact No BANKING DETAILS (Cancelled CHEQUE must be attached) 11. Details of Applicant s Bankers: (a) Bank Name: (b) Bank Branch: (c) Account No: (d) Account Description: (e) Date account opened: 12. (a) Are the Applicant s business premises rented? YES NO If yes, please furnish the following details of the Landlord on the next page: Postal address Physical address Telephone number: Fax Number:

6 (b) If no, please furnish details of fixed property occupied by the Customer: Address Stand No & Township Estimate Value Bond Value Bond Holder In whose name is property registered SECURITY 13. Is the Customer prepared to offer security/ies: If yes, please state what security is offered: Cession of Contracts Cession of Book Debts (Complete Section D) Suretyship (Complete Section E, F) Notarial Bond

7 SECTION B: (To be completed by each private individual / sole proprietor or partner-please copy as many additional pages as required)individual / sole proprietor or partner name: i (a) If you are married, please mark with X in the appropriate block: a. In Community of Property b. Ante nuptial contract-with accrual system c. Ante nuptial contract-without accrual system (b) Date when married: (c) Full name of spouse: (d) Identity Number: ii (a) Occupation (b) Name of Employer (c) Employer s Address (d) Salary Per Month APPLICANT SPOUSE iii Have you ever been declared Insolvent? Signed YES NO Print Name: Date:

8 SECTION C: (To be signed by all applicants) 14. CONSENT: I / We do hereby warrant that all the information recorded in this application is true and correct, that I / We sign of my / our own free will and with the full knowledge and understanding of the contents hereof and that I / We are duly authorized in doing so. I /we furthermore accept and acknowledge that all transactions which are undertaken by the company, strictly and exclusively will be subject to the supplier s terms and conditions of sale and by my/our signature, I/we confirm that I/we viewed, understand and accept the terms and conditions found on the PINNACLE MICRO (PTY) LTD website link: and that these terms and conditions form part of this application. I / we undertake to abide by the credit terms offered by the Supplier and recognize the full responsibility of this commitment. The Customer specifically consents that the Supplier: May carry out a credit enquiry in respect of the Customer; May access the data base of any Risk Information Agency before granting credit to the Customer; May, where credit is granted, transmit details to a Risk Information Agency of how the Customer has performed in meeting its obligations under the account, and share such information with other Risk Information Agencies for purposes of assessing further applications for credit by the Customer (and its members, directors, trustees or partners as the case may be) and for occasional debt tracing, debt collection and fraud prevention purposes; If credit is granted in favor of the Customer and the Customer fails to meet its financial commitments to the Supplier, the Supplier may record the Customer s default with a Risk Information Agency; May refer information relating to the Customer s credit performance to a Risk Information Agency for banking and credit assessment, statistical analysis, and credit scoring purposes and use such information to identify products (including those supplied by third parties) which may be relevant to the Customer; May record the existence of a Customer s account with the Supplier at a Risk Information Agency(s). The Customer specifically acknowledges that it shall under no circumstances hold the Supplier liable for any damages relating to any of the aspects as set out in this paragraph Section C.15. Signed at This Day of 20 ALL SIGNATORIES MUST SIGN ON THE NEXT PAGE

9 SIGNATORY No. 1 SIGNED BY WITNESS No. 1 Signature Of Witness No. 1 Of Witness No. 1 Identity Number Of Witness No. 1 SIGNATORY No. 2 SIGNED BY WITNESS No. 2 Signature Of Witness No. 2 Of Witness No. 2 Identity Number Of Witness No. 2 SIGNATORY No. 3 SIGNED BY WITNESS No. 3 Signature Of Witness No. 3 Of Witness No. 3 Identity Number Of Witness No. 3

10 SECTION D: (Complete only if you offer cession as security) 15. CESSION The Customer hereby cedes, assigns and transfer unto and in favor of the Supplier all my/our rights, title and interest in and to all debts which are now, or which may in the future become, owing to me by any party or parties as security for the payment by me/us of all amounts which are now and which may from time to time in the future become owing by me/us to the Company from any cause of indebtedness howsoever arising. I/We agree that on request by the Supplier, I/We shall be obliged to hand over to the Supplier all books of accounts, contracts, invoices and documents and the like which it may require for the purpose of ascertaining the amounts due to me/us and for the purpose of the recovery of payment. Signed at This Day of 20 ALL SIGNATORIES MUST SIGN ON THE NEXT PAGE SIGNATORY No. 1 SIGNED BY WITNESS No. 1 Signature Of Witness No. 1 Of Witness No. 1 Identity Number Of Witness No. 1 SIGNATORY No. 2 SIGNED BY WITNESS No. 2 Signature Of Witness No. 2 Of Witness No. 2 Identity Number Of Witness No. 2

11 SIGNATORY No. 3 SIGNED BY WITNESS No. 3 Signature Of Witness No. 3 Of Witness No. 3 Identity Number Of Witness No. 3

12 SECTION E: (Complete when offering Surety as Security) 16. DEED OF SURETYSHIP AND INDEMNITY 1. I/We, the undersigned, (Full Names of Surety/ies) do hereby bind myself/ourselves (hereinafter referred to as the Surety/ies) unto and in favor of PINNACLE MICRO (PTY) LTD or its successors in title or assigns (hereinafter referred to as the Supplier ) as surety/ies and coprincipal debtor/s in solidum with (Complete legal entity name - all parties and witnesses to initial here) (Hereinafter referred to as The Principal Debtor/s ), and all such other persons who may be or become indebted or owe obligations to the Sup- plier as a result of claims of whatever nature acquired from the Principal Debtors (such other persons hereinafter referred to as the Debtor/s) and in respect of which the Principal Debtor/s remain/s liable in any way, for the due and punctual payment of all amounts of whatever nature and/or the performance of any obligation, all of which may now or in future become owing by the Principal Debtor/s and/or the Debtors for any reason whatsoever. 2. The Supplier shall be at liberty, at its sole and absolute discretion, without my/our prior knowledge or consent, and without releasing me/us from my/our liability hereunder: i) to institute such proceedings or take such steps as it may deem fit against the Principal Debtor/s and/or the Debtors including the right to re-possess any goods sold to the Debtors and to deal therewith or sell same in such manner, at such price and on such terms as the Supplier in its sole discretion may decide, in which event the selling price shall be deemed to be the true market value of the goods sold; ii) to compromise with or make other arrangements with the Principal Debtor/s and/or Debtors or vary any agreement, undertaking and/or arrangement with the Principal Debtors and/or Debtors in any other manner whatsoever; iii) to grant any leniency, indulgence or extension of time to the Principal Debtor/s and/or Debtors or vary any agreement, undertaking and/or arrangement with the Principal Debtors and/or Debtors in any other manner whatsoever; iv) to enter into agreements of cancellation with the Principal Debtor/s and/or the Debtors in respect of any existing or future arrangement and/or to enter into new arrangements and/or to substitute new purchasers for the Principal Debtor/s and/or any of the Debtors; v) to cede, assign and transfer any of its right, title and interest in and to any or all of its claims against the Principal Debtor/s and/or Debtors which are now in existence or may come into existence in its own discretion and on such cession my/our liability shall continue in favor of the cessionary for both the existing liability at the date of the cession and also in respect of any future liability incurred by the Principal Debtor/s and/or Debtors with the Cessionary arising from any cause whatsoever.

13 3. In any or all of the events described above, my/our liability shall be coextensive with that of the Principal Debtor/s and/or Debtors. 4. I/We hereby indemnify and hold for Supplier harmless against any loss or damage which it may sustain for any reason whatsoever, irrespective of the validity and/or enforceability of its causes/s of its claim/s against the Principal Debtor/s and/or Debtor. 5. In giving this surety ship, I/we do hereby voluntarily waive, renounce and abandon the benefits of excursion, division, cession of action, error calculi, non numeratae pecuniae, revision of accounts, and de doubus vel pluribus reis debendi. I/we furthermore agree that the provisions of the waivers, renunciations and abandonments contained herein the full meaning, force and effect whereof I/we understand, shall also be binding upon my/or successors in title, assigns, etc. 6. It is agreed and declared that all admissions of acknowledgements or indebtedness by the Principal Debtor/s and/or Debtors shall be binding on me/us. 7. This Deed of Suretyship and Indemnity shall not be cancelled save with the written consent of the Supplier. 8. In the event of insolvency, liquidation, assignment or compromise by the Principal Debtor/s and/or Debtors, the Supplier shall be entitled to prove against the Estate for the full amount of the indebtedness and/or to accept any offer of compromise, whether at common law or in terms of any statutory provision, without prejudice to its rights to recover from me/us to the full extent hereof any sum which may be owing by the Principal Debtor/s and/or Debtors. 9. I/We do hereby furthermore cede and make over unto and in favor of the Supplier, as its sole and absolute property, any claim of whatever nature, based here on or flowing or arising here from, which I/we may have or acquire against any of the persons covered hereby, for the benefit of any indebtedness which I/we may have hereunder. I/We furthermore undertake and bind myself/ourselves to take whatever necessary action to enforce settlement of any such claim, upon the Supplier s request and in terms of its directions. Nonetheless the Supplier shall be and remain entitled to use its own or my/our name and to take such action as it may elect for purposes thereof. The other provisions of this document shall also mutatis mutandis apply to this clause. 10. I/We hereby agree and consent that the Supplier shall be entitled, as its option, to institute any legal proceedings which may arise out of or in connection herewith in any Magistrate s Court having jurisdiction in respect of my/our person, notwithstanding that the claim or the value of the matter in dispute might exceed the jurisdiction of the Magistrate s Court. 11. I/We acknowledge and agree that a certificate signed by the Credit Manager of the Supplier for the time being setting out the amount of my/our indebtedness hereunder shall be sufficient and satisfactory evidence and shall constitute prima facie proof per se of the amount of my/ our indebtedness to the Supplier. 12. I/We hereby choose the Customer s physical address as described in No. 3 of Section A on page 2 of this application as his/her/our chosen domicilium citandi et executandi for the service of any legal process. Signed at This Day of 20

14 SIGNATORY No. 1 SIGNED BY WITNESS No. 1 Signature Of Witness No. 1 Of Witness No. 1 Identity Number Of Witness No. 1 SIGNATORY No. 2 SIGNED BY WITNESS No. 2 Signature Of Witness No. 2 Of Witness No. 2 Identity Number Of Witness No. 2 SIGNATORY No. 3 SIGNED BY WITNESS No. 3 Signature Of Witness No. 3 Of Witness No. 3 Identity Number Of Witness No. 3

15 SECTION F: (To be completed by all sureties) PLEASE COPY AS MANY ADDITIONAL PAGES AS REQUIRED PERSONAL STATEMENT OF ASSETS AND LIABILITIES CLIENT SPOUSE Name Asset Liability Asset Liability FIXED PROPERTY Address Date Acquired Cost (Include Improvements) INVESTMENTS Cash and Bank Balances Unit Trusts Listed Shares 1 2 Number of shares UNLISTED INVESTMENTS (Private companies/cc's/trusts/private practice) Entity Name Percentage Interest OTHER ASSETS Motor Vehicles Make and Model Cost Equipment Furniture and fittings Debtors Other (details) OTHER LIABILITIES Unsecured Borrowings Bank Overdrafts Unsecured Loans Credit Cards Contingent Liabilities (for example suretyships) TOTALS NET ASSETS (ASSETS - LIABILITIES)

16 Thank you for your interest in becoming a dealer at Pinnacle Micro (Pty) Ltd. We value your business and would appreciate it if you could answer a few simple questions for our records to ensure we deliver the best possible service to you. 1. Company Name? 2. How long has your company been in operation? 3. What is the core nature of your business? 4. Do you have a local or national presence? 5. What product range forms the core of your business? 6. Based on Pinnacle s product offering, how big is the business that we can compete for? 7. Conservatively, what do you estimate your average spend per month with Pinnacle Micro will be? 8. Do you offer after sales service or do you contract it out? 9. What is your company s annual turnover? 10. Please provide your company s web address? 11. Kindly provide us with the company names of the end users (your customers) that you would supply to? For Pinnacle Micro (Pty) Ltd Office Use Only Reseller Verification and Confirmation Approved / Declined Signature Date