Identity Ltd (reg.

no 1965/001234/07)
(Credit Provider registration number NCRCP45)
Primary place of business: No. 1 Mostert
Street, Cape Town, South Africa, 8001

www.identity.co.za

2023-09-27 10:40:02 AM

PAY3 ACCOUNT AGREEMENT

PAY3 No.: 10121502100386

Miss T JANSEN Home ph.: 081 3677340

9 EBENEZER ROAD Mobile: 0662144625
PARKSIDE
5209

Email: abdritjansen771@gmail.com

Date of birth: 2001-08-08

PAY3 Limit: R 500

You undertake to pay each purchase in accordance to the payment plan approved for the
purchase on your PAY3 account. Once you have entered into a payment plan for a purchase
it cannot be amended or cancelled unless there was a return of goods as per the returns
policy and applicable laws.

As specified at the time of the transaction, your payment plan will require an upfront first
instalment calculated as a percentage of the total value of each purchase. The remaining
balance will be settled in a number of equal monthly payments.

We do not guarantee that your request to purchase using a PAY3 payment plan will be
approved for each purchase and reserve the right to decline requests to purchase on the
PAY3 account at our sole discretion, even if you have previously used the PAY3 account and
paid all your payments in full and on time.

If your monthly instalments are paid by no later than your payment due date, then no
interest or fees will be chargeable.

Identity will provide to you a monthly statement relating to your PAY3 Account to show the
balance owing, the payment due and the payment due date. I understand that should I not
pay the monthly amount due as reflected on such statement, or pay a lesser amount than
the amount due, by the payment due date, I will be in default and interest will be charged
on my PAY3 Account at no more than the prevailing maximum interest rate provided for in
terms of the National Credit Act for incidental credit agreements, and I may be liable for
default administration charges and collection costs on my PAY3 Account.

Marketing options selected:

Telemarketing: YES
SMS: YES
Email: YES
Marketing lists: YES

1
I hereby apply for a Identity PAY3 Account.

I confirm that I have not recently consulted a debt counsellor, nor am I currently under debt
review.

I understand this PAY3 Account Agreement.

I understand that this Agreement between Identity and me is subject to and includes the
terms contained in the Identity PAY3 Account Terms and Conditions ('the terms and
conditions'). I confirm that a printable electronic copy of the terms and conditions is
available for viewing at www.identity.co.za/legal?page=pay-tc and that it has been provided
to me in that form. I confirm that I understand that I may request additional copies of the
terms and conditions at a point of sale in any Identity store or by calling: +27 21 460 2400

Applicant's Signature: Accepted

Signature: electronically via OTP on
27/09/2023 at 10:40:02
(For and on behalf of Identity)