Policy Schedule - Wonga

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TRIARC (PTY) LTD

Policy Schedule Phone 087 231 0222


FSP Licence No 45009

Policy Number WLC40017478045

Policyholder Jonathan Mokoena


ID No 9211305712089
Contact Telephone Cell Phone: (066) 0416371
Email Address Business: wondersipho666@gmail.com

Intermediary Wonga Online a Juristic Representative of VDB Brokers (Pty) LTD FSP 51449, Broker
Code 1353106
This is your primary contact, see Statutory Notice for contact details.
Underwriting Manager TRIARC (PTY) LTD, Reg. No 2012/011172/07, VAT No 4100275140, FSP Licence
No 45009
Insurer African Unity Life Limited, Reg. No 2003/016142/06
Product Wonga Credit Life Plan

Type of Contract Monthly


Period of Insurance (a) 26 Feb 2024 to 25 Mar 2024
(b) This policy expires on 25 Mar 2024
(c) The cover and premiums on this schedule are based on 4 Mar 2024. Cover and
premiums starting after that date are not included in this schedule.

Note to Policy Holder - Please read the Policy Schedule carefully. If any details are incorrectly stated,
return the Policy to the Company or your Broker for immediate correction.

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Premium Schedule and Index of Cover for Policy Number WLC40017478045
Sections Available Included Premium
Monthly

1 Wonga Payday Loans Cover Yes R 5.37

Total Payment R 5.37

Your next scheduled bulk cash/eft amount is R 5.37. Please be aware that this amount might still change if you amend
your cover before the next payment date on 8 Mar 2024.

Tax Invoice
In terms of Binding General Ruling No. 14 this document together with proof of payment of premium constitutes a tax
invoice, debit note or credit note as contemplated in sections 20(7)(a) and 21(5)(b) of the VAT Act respectively. The
Total Payment is subject to VAT at the zero rate and includes commission of R 0.40.

Note to Policy Holder


Where a premium field above (or within the content of this schedule) does not have a premium included or where cover is
not specifically stated as being included, cover for this particular class of risk is not in force. If cover or a quotation for cover
is required please request this from your broker in writing.

It is important that these documents be carefully checked to ensure that they meet with your full approval. The content of
this schedule and the applicable policy wording will be the basis upon which any claim arising in the future will be settled.

This schedule forms an integral part of your policy and must be read together with the policy wording.

If your health changes before the policy has been accepted you are obligated to inform us.

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Policy Number WLC40017478045 J Mokoena Wonga Payday Loans Cover
Section Premium R 5.37

Description of Item and Cover Included Sum Insured Premium

Death Benefit R 1,000 R 5.37


Insured Jonathan Mokoena, Age 31.26 (Male)
Disability Benefit Permanent Yes R 1,000
Disability Benefit Temporary Yes R 1,000

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Policy Number WLC40017478045 J Mokoena Whole Policy

1. GENERAL

1.1 Policy amendments by Principal Insured


Should a Principal Insured like to make any changes to his/her personal information or any other information pertaining
to the Policy, he/she should contact Triarc (Pty) Ltd at 087 237 7799 or email them at wonga@triarc.co.za.

1.2 How do I Claim


As soon as possible after the insured event and within the time period limits set out in the Policy Schedule, the Principal
Insured or his/her Nominated Beneficiary should notify Triarc (Pty) Ltd of the event by contacting them at 087 237 7799
or email them at wonga@triarc.co.za.

The claim form, as well as all the supporting documentation required for the specific claim event as specified in
Section 4 of this Policy should be submitted to AUL within the time limits set out in the Policy Schedule.

It is the responsibility of the Policyholder to ensure that the submitted documentation is in a clearly readable format. Any
incomplete or unreadable supporting documentation can delay the claim process.

Payment of the claim benefit shall be made within 48 hours (after receiving all documentation) to the Nominated
Beneficiary and the receipt of a benefit by the Principal Insured of the beneficiary (testament) shall discharge the Insurer
from any further liability. Only nominated beneficiaries will be considered when paying claims.

2. POLICY SCHEDULE

2.1 General Information of the Insurer and other Role Players


Insurer of the Wonga Credit Life Plan:
African Unity Life Ltd, registration number 2003/016142/06, a licensed long-term insurer in terms of the Long-term
Insurance Act 18 of 1998 and an Authorised Financial Services Provider (FSP 8447) in terms of the Financial Advisory
and Intermediary Services Act of 2002 as amended.

Party appointed to perform Policy Distribution:


Wonga Online (Pty) Ltd - 2019/167500/07 - a registered juristic representative under VDB Brokers (Pty) Ltd-FSP No.
51449

Party appointed to perform Policy Administration and collection of Premiums:


Triarc (Pty) Ltd - 2012/011172/07 - an authorized Financial Services Provider, FSP No. 45009

Declaration
No advice, as defined in the FAIS Act No 37 of 2022, was given during the application of this policy

2.2 General Information of the Policy

Product details:
Cancellation of your policy by the Principal Insured or the Insurer - 31 days, written notification
Notification period for amendment of this Product Specification document or increase of premiums - 31 days, written
notification

Age and other restrictions:


Minimum entry age for Principal Insured - 18 years
Maximum entry age Principal Insured - 64 years (and employed on a permanent basis)
Cessation Age - 65 years
Maximum number of Insureds (including Principal Insured) in total - Principal Insured only

Benefits will only be paid, or services delivered in the following territory:


Within the borders of the Republic of South Africa

Beneficiaries:
As specified by the Principal Insured at application stage.

2.3 Waiting Periods

Death benefits
Accidental death - None, provided that the first premium has been received.
Death due to natural causes - None, provided that the first premium has been received
Death due to unnatural causes (other than accidental) - None, provided that the first premium has been received

Permanent & Temporary Disability Benefit


Permanent & Temporary Disability Benefit - None, provided that the first premium has been received

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Unemployment Benefit
Unemployment Benefit - None, provided that the first premium has been received Credit agreements where the term
exceeds 6 months: 3 calendar months from entry date or reinstatement date

2.4 Waiving of Waiting Periods


2.4.1 Waiting Period not applicable:

2.4.1 Waiting Period not applicable:


2.4.1.1 No waiting period subject to the Insured/s having had a previous policy with another provider at least 31 days
before entering into the Wonga Credit Life Plan; and
2.4.1.2 The policy benefits under the previous policy provided cover in respect of similar risks relating to the same
lives insured; and
2.4.1.3 Where the full waiting period has not been completed, benefits will be subject to the outstanding waiting

Proof of cancellation of policy is required along with proof that the 3-month waiting period has been completed.

2.4.2 Reinstatement of Policy:


2.4.2.1 If a policy is reinstated within two months from lapsing - Only the portion of the waiting period which was not
completed will apply
2.4.2.2 If a policy is reinstated after two months of lapsing - All waiting periods will re-apply

2.5 Premiums

Grace Period for Individual Policyholders - 15 days commencing from the date premium is due.
Cooling-off Period - 31 days from the date the policyholder received his policy documents confirming cover.
Lapsing of policies (allocating premiums to the oldest outstanding balance) - 2 Consecutive premiums outstanding

Fees
The premiums includes a binder fee of 3.5% of gross risk premium payable to the administrator and a
commission of 7.5% of gross risk premium payable to the intermediary.

2.6 Claims

Notification period from the date of the event within 6 calendar months:
6 calendar months from the date of the claim event (if filed outside this period the circumstances will be assessed to
consider waiving the notification period).

Submission of all required documentation to assess the claim within 6 calendar months:
6 calendar months from the date of the claim event (if filed outside this period the circumstances will be assessed to
consider waiving the notification period)

2.7 Specific Exclusions

2.7.1 Death Benefit & Permanent or Temporary Disability Benefit:

Death or disability resulting from:


i. The abuse of alcohol, drugs or narcotics;
ii. Wilful self-inflicted injury or suicide;
iii. Active participation in war, invasion, acts of foreign enemies, hostilities, warlike operations (whether war be declared
or not), civil war, insurrection, rebellion revolution, civil commotion or uprising, military power;
iv. The use of nuclear, biological or chemical weapons, or any radioactive contamination; participation in criminal
activities;
v. Participation in criminal activities;
vi. Participation in hazardous activities such as mountain climbing, bungee jumping and speed racing;
vii. Any pre-existing condition the consumer was aware of that affected the consumer in the 12 months preceding the
commencement of cover under that credit life policy, provided that where a specific pre-existing condition is disclosed
by the consumer prior to the commencement of cover, the condition may only be excluded if the consumer is clearly
informed of such specific exclusion.

2.7.2 Unemployment or inability to earn an income (other than due to Permanent or Temporary Disability):

Unemployment or inability to earn an income resulting from:


i. Retrenchment or termination of employment within the first 3 months after the commencement of cover under that
credit life policy, on where the term of the credit agreement is more than 6 months;
ii. Lawful dismissal, including dismissal as a result of wilful misconduct that is a violation of some established, definite
rule of conduct, a forbidden act, willful dereliction of duty or misconduct;
iii. Voluntary forfeiture of salary wages, or other employment income;
iv. Voluntary retrenchment or termination of employment;
v. Resignation;
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vi. Retirement;
vii. Participation in an unprotected strike; and
viii. Retrenchment of which the consumer was aware or received notice of during the 3 months preceding the date on
which cover under that credit life policy commences.

3. POLICY WORDING

In this Policy document where the context requires, words importing the masculine shall include the feminine and words
importing the singular shall include the plural and vice versa, and the following expressions shall have the following
meanings:

DEFINITIONS

Accident (or Accidental)


An unforeseen event which could not reasonably have been expected to occur.

Accidental Death
An unforeseen event, which could not reasonably have been expected to occur. The event must result in death caused
directly and independently of all other causes by some external and visible means arising from this event and excludes
death by natural causes.

Active War
Shall mean death or disability occasioned by, happening through or in consequence of war, invasion, acts of foreign
enemies, hostilities or warlike operations (whether war be declared or not), civil war, mutiny, civil commotion assuming
the proportions of or amounting to popular uprising, military uprising, insurrection, rebellion, revolution, military coup
or usurped power, infiltrators or persons engaged in acts of terrorism or subversion, provided that the person suffering
death or disability from any of these causes was at the time;
- on active service with the armed or security forces or employed by them, or
- participating in any military, civil defense or hostile manoeuvres or training.

Add-on Benefit
An additional insurable benefit on a life or non-life policy, that can be mandatory or optional, has a separate premium
and means the same as a Rider Benefit for the purposes of this Policy.

Application
Include all forms of applying for a Wonga Credit Life Plan by the Principal Insured - this will include call center
applications; electronic applications as well as paper applications. This Application shall also state the option of benefits
selected and is subject to the approval of the Insurer before cover will commence.

Beneficiary
The person/s as nominated by the Principal Insured, to receive the benefit, subject to the terms and conditions set
out in this Product Specification and in the Policy Schedule, upon the Principal Insured's death. Beneficiaries must be
nominated in writing on the Application and may be amended any time prior to the Principal Insured's death.

Bodily Injury
Violent external and visible means caused by an Accident, but shall include Bodily Injury caused by starvation, thirst and
exposure to the elements as a result of a Road Accident.

Cessation Age
The Principal Insured's age as specified in the schedule, at which age benefits would cease.

Commencement Date
The date the Principal Insured entered into the Policy. This date is subject to the Insurer accepting the application and
should be stated on both the Application and Policy Schedule of each Principal Insured

Cooling-off Period
An opportunity for the Principal Insured to cancel the Policy, providing no benefit has been paid or claimed within a
period of 31 days after receipt of the Policy Schedule.

Date of Notification of Retrenchment / Laying off / Loss of Employment


The date the Employer provides the Employee with the first formal notification, in terms of Section 189 or Section 189A
of the Labour Relations Act of 1995 or any other such documented process, which sets out the intention of the Employer
to commence with a formal process to Retrench or Lay-off any of its Employees.

Day
24 (twenty-four) consecutive hours.

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Defined Accidental Events
Where the Principal Insured or a Dependent sustains accidental bodily injury which results, within 3 (three) months
thereof, in the death of the Principal Insured or a Dependent, solely and independently of any other cause; or

In the event of the disappearance of the Principal Insured or a Dependent and the granting of a High Court order
presuming the death of the Principal Insured or the Dependent.

Entry date
The date a spouse, dependent or extended family member is added to the policy.

Finance Provider
A party who provides loan/s to borrowers as part of its business and in accordance with the National Credit Act of 34 of
2005, subject to concluding a Loan Agreement.

Grace Period
The period after the due date for payment of premiums, which the Insurer will allow the Principal Insured to pay arrear
premiums before Policy benefits will be lapsed.

Individual loan balances


Credit insurance benefits on each individual loan separately. A Principal Insured may have multiple loans, but each loan
has its own loan account number and is separately identifiable.

Instalment
The sum you must pay to a Finance Provider each month in respect of a Loan Agreement.

Insured Event
The particular event, for which insurance has been obtained in terms of this Policy and set out in the Policy Schedule.

Insurer
African Unity Life Ltd, registration number 2003/016142/06, a registered long-term insurer in terms of the Long-term
Insurance Act of 1998 and an Authorised Financial Services Provider (FSP 8447) in terms of the Financial Advisory and
Intermediary Services Act of 2002 as amended.

Insured/s
Includes all the lives insured under the Policy entered into by the Principal Insured.

Laying Off
The temporary suspension by and at the instance of the Employer of the Employees' employment, due to the
discontinuance and/or reduction of a plant or operation, for a continuous period in excess of 1 (one) normal work week
provided such lay-off is not a consequence of disciplinary action for any good and sufficient reason, any strike and/ or
lockout and/or any slowdown, work stoppage and/or concerted effort of any kind.

Loan bundles
Credit insurance benefits on all the individual loans issued to a Principal Insured (who is a client of the Finance
Provider), where such individual loans are bundled and insured as one outstanding balance.

Loan Agreement
The loan agreement the Principal Insured entered into with the Finance Provider.

Loss of Employment
Shall refer to instances in which the Principal Insured, is unfairly dismissed, retrenched, where the Principal Insured is
subject to "laying off" or where the Principal Insured's regular periodical remuneration is reduced at the sole instance of
the employer by more than 25%, provided such reduction is not a consequence of disciplinary action instituted against
the Principal Insured for any good and sufficient reason, any strike and/ or lockout and/or any slowdown, work stoppage
and/or concerted effort of any kind by the Principal Insured to do so.

Natural Death
A death by natural causes is the end result of an illness or an internal malfunction of the body not directly caused by
external forces. Indicated as Natural death on the death certificate.

Nuclear, and/or Chemical and/or Biological Terrorism attack


Shall mean any losses directly or indirectly arising out of, contributed to or caused by, or resulting from or in connection
with any act of Nuclear, Chemical, Biological Terrorism (as defined below) regardless of any other cause or event
contributing concurrently or in other sequence to the loss.

"Nuclear, Chemical, Biological Terrorism" shall mean the use of any nuclear weapon or device or the emission,
discharge, dispersal, release, or escape of any solid, liquid or gaseous Chemical agent and/or Biological agent during
the period of this Agreement by any person or group(s) of persons, whether acting alone or on behalf of or in connection
with any organisation(s) or government(s), committed for political, religious or ideological purposes or reasons including
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the intention to influence any government and/or to put the public, or any section of the public, in fear. "Chemical" agent
shall mean any compound which, when suitably disseminated, produces incapacitating, damaging or lethal effects on
people, animals, plants or material property. "Biological" agent shall mean any pathogenic (disease producing) micro-
organism(s) and/or biologically produced toxin(s) (including genetically modified organisms and chemically synthesised
toxins) which cause illness and/or death in humans, animals or plants.

Outstanding loan balance


In the case of a Loan Agreement, the unpaid portion of the loan that may include interest and fees accrued in the
balance.

Permanent employment
When the Principal Insured is working for another person or the state for at least 20 (twenty) hours a week and receiving
a salary or wages under a contract of employment that does not have a known or implied finish date.

Permanent and Total Disability


Such incapacity which renders the Insured unable to follow his/her own or similar occupation, defined as the regular
and / or normal occupation in which the Insured is engaged for remuneration or profit but expanded also to include
any occupation for which the Insured is reasonably qualified to be engaged in for remuneration or profit by his/her
qualifications, status, training, working and / or occupational experience.

The term Permanent Total Disability shall include permanent and total loss of or use of:
- Speech, 100% loss
- Hearing in both ears, 100% loss
- Any limb, 100%
- Sight in one or both eyes, 100%
- Disfigurement of face and neck, 100%

Pre-Existing Condition
Any condition, physical defect, illness, bodily injury or disability which the insured was aware of and/or received
medical advice or treatment for in the defined period as indicated in the Policy Schedule (Paragraph 2) prior to the
commencement date or date of any reinstatement.

Principal Insured
The person whose life is to be insured under this Policy and on whose death all other insurance cover on his/her
Policy Schedule shall cease, unless the Policy is transferred in terms of clause 3.4. Principal Insured also refers to the
Policyholder.

Policyholder
Principal Insured

Policy Schedule
The Policy summary, which sets out the particular benefits of the Policy, and which is provided to the Principal Insured.

Premium Payer
The Premium Payer is not the Principal Insured of the policy, but is a person that has an insurable interest in the
Principal Insured's life and makes the premium payments on the policy. The Premium Payer can also be the Beneficiary
on the policy.

Retrenchment
Shall mean the loss of employment as a result of implementation of a staff reduction program, adverse business
conditions, the introduction of new technology or the re-organisation of the business by the employer in accordance with
the provisions of chapter 8 of the Labour Relations Act, Act 66 of 1995 as amended and which results in your continued
unemployment for a period longer than 30 (thirty) days.

Review Date
The date stated in this Policy on which the Insurer will review the risk profile, benefits and premiums of the Policy.

Rider Benefit
An additional insurable benefit on a life or non-life policy, that can be mandatory or optional, has a separate premium
and means the same as an Add-on Benefit for the purposes of this Policy.

Suicide
The act or an instance of taking one's own life.

Temporary Disability
Being unable to work at any occupation, which the Principal Insured is reasonably able to do, given his/her experience,
education or training because of a Bodily Injury or illness

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Territory
The geographical areas covered under this Policy and as referred to in Section 2 above.

Unclaimed Benefits
A benefit which remains unclaimed for a period of 6 months from date of notification of an Insured Event.

Unfair dismissal
Shall have the meaning and limitations attributed thereto in chapter 8 of the Labour Relations Act, Act 66 of 1995 as
amended. Without attempting to exhaustively identify such instances illustrating unfair dismissals and purely by way of
example, the following instances may be found to be unfair dismissals:
- You as an Insured intended to or did take part in or supported a strike or protest; or a worker refused to do the work of
a striking or locked out co-worker, unless his refusal will endanger life or health; or
- You are forced to accept a demand; or
- You intend to or did take action against an employer by:

Shall have the meaning and limitations attributed thereto in chapter 8 of the Labour Relations Act, Act 66 of 1995 as
amended. Without attempting to exhaustively identify such instances illustrating unfair dismissals and purely by way of
example, the following instances may be found to be unfair dismissals:
- You as an Insured intended to or did take part in or supported a strike or protest; or a worker refused to do the work of
a striking or locked out co-worker, unless his refusal will endanger life or health; or
- You are forced to accept a demand; or
- You intend to or did take action against an employer by:
- exercising a right; or
- taking part in proceedings; or
- You are pregnant or intend to be pregnant; or
- An employer discriminated against you because of race, gender, sex, ethnic or social origin, colour, sexual orientation,
age, disability, religion, conscience, belief, political opinion, culture, language, marital status or family responsibility; or
- An employer cannot prove:
- your misconduct or inability; or
- that the employer's operational needs are valid; or that the dismissal procedure was fair.

Unnatural death
Any death other than death due to accident/suicide. Indicated as unnatural on the death certificate.

Value Added Product / Service (VAPS)


Means a benefit (whether in the form of a product or a service) that is not insurable and does not have the same
meaning as a Rider Benefit.

Waiting Periods
The Waiting Period is the period subsequent to the Entry Date or Reactivation Date, and stipulated in the Policy
Schedule, in which no benefits to a Principal Insured or any of its Dependants or Extended Family members will be paid.

3.1 Eligibility for Benefits


3.1.1 The Principal Insured, in respect of whom benefits are to be insured under this Policy, shall be the person who
have become Principal Insured in accordance with the Application under conditions that may be stated in the Policy
Schedule. In addition, relevant information must have been submitted to the Insurer as and when required in terms
of this Policy. Any Principal Insured, who has not fulfilled any of the provisions contained in this clause, shall only be
allowed to participate in the benefits provided under this Policy provided the Insurer has given its prior agreement to
such participation, in writing by virtue of an underwriting arrangement.

3.1.2 A Principal Insured, where only insuring him-/ herself may not be eligible if he/she is older than the maximum age
stated in Section 2 above.

3.1.3 On becoming insured under this policy each such person shall be deemed to have accepted the terms and
conditions of this Policy and thus to have agreed to be bound by them.

3.2 Principal Insured's information


3.2.1 The Principal Insured's details are captured as per the Application. If there be any changes it is the Principal
Insured's responsibility to provide VDB Brokers (Pty) Ltd with such information in order to prevent delays at claim stage.

3.2.2 All our records are kept for a minimum period of 5 (five) years and this is a statutory requirement in terms of the
Financial Advisory and Intermediary Services Act of 2002 ("FAIS") as amended. All Insured's personal information (as
defined in the Protection of Personal Information Act ("POPI") will be held for this period. The information submitted by
the Principal Insured will be made available to and processed by Triarc (Pty) Ltd and its Insurer where required, as well
as its external compliance practice for audit purposes, the Regulators (Financial Sector Conduct Authority or Prudential
Authority) and any Ombud/Ombudsman who has jurisdiction. AUL's staff and representatives aim to adhere to the legal
requirements pertaining to recordkeeping at all times.

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3.3 Termination of Benefits
3.3.1 The benefits of the Insureds shall terminate on the earliest date of:

3.3.1 The benefits of the Insureds shall terminate on the earliest date of:
3.3.1.1 The death of the Principal Insured, unless the option is taken to transfer the Policy in terms of clause 3.5 hereto
(this option will be afforded to Insureds in all instances which will effectively suspend the termination of the Policy);
3.3.1.2 The Principal Insured (or Premium Payer) failed to pay 2 (two) premiums;
3.3.1.3 The lapse of the Policy in terms of the conditions of this Policy, set out in the Policy Schedule;
3.3.1.4 The Principal Insured submitted alleged or actual fraudulent information to AUL or submitted a fraudulent
claim;
3.3.1.5 Cancellation in terms of Schedule 2 subject to a 31-day notice period.

3.3.2 The Principal Insured may terminate this Policy provided:


3.3.2.1 A written notice in accordance with the period specified in the Schedule 2 above is given to AUL. On the
completion of this notice period, i.e. the termination date, all claims where the date of occurrence is after the termination
date will not be entertained under this Policy;
3.3.2.2 The Insurer may terminate this Policy by giving the Principal Insured written notice in terms of the period
specified in the Policy Schedule.

3.4 Increase in Benefits


3.4.1 When an increase in benefits are selected by the Principal Insured, all Waiting Periods as referred to in the Policy
Schedule will apply on the increased portion, as of the first day of the month, following the month the increased option is
selected by the Principal Insured.

3.4.2 Should a claim arise within the Waiting Period, only the original benefit amount will be payable to the Principal
Insured or Beneficiary as was applicable prior to the election of the new increased benefit option. Should a claim arise
after the expiry of the Waiting Periods the full increased benefit shall be payable, subject to the terms and conditions of
the Policy.

3.5 Calculation and Collection of Premiums


3.5.1 The Principal Insured and/or the Premium Payer is responsible for the payment of the Premium.

3.5.2 The premiums required to secure a Principal Insured's benefits shall be payable monthly in advance throughout
the term of the Policy.

3.5.3 All premiums and benefits due to or payable by the Insurer shall be paid in the lawful currency of the Republic of
South Africa.

3.5.4 No latitude, extension of time or other indulgence which may be given or allowed, whether by agreement or
inadvertently by the Insurer to the Principal Insured in respect of the performance of any obligation in terms of this
Policy, shall under any circumstances be construed to be implied consent or operate as a waiver or a novation of, or
otherwise affect any of the rights of the Insurer or stop the Insurer from enforcing, at any time and without notice, strict
and punctual compliance with each and every obligation of the Principal Insured.

3.5.5 All premiums are payable in accordance with the Policy Schedule.

3.6 Grace Period


3.6.1 The period of grace allowed for payment of premiums is specified in the Policy Schedule in Section 2 above.
For example: Where a 31-day grace period is allowed after two premiums have not been paid. (payments missed in
consecutive months):

3.6.1 The period of grace allowed for payment of premiums is specified in the Policy Schedule in Section 2 above.
For example: Where a 31-day grace period is allowed after two premiums have not been paid. (payments missed in
consecutive months):
3.6.1.1 Premium due: 1 January (paid - policy activated);
3.6.1.2 Premium due: 1 February (not paid - policy suspended);
3.6.1.3 Premium due: 1 March (not paid - policy remains suspended - notice of cancellation will be provided to the
Policy Holder with a 31-day grace period to make payment)
3.6.1.4 Premium due - 1 April (not paid - cancelled)

3.6.2 Example (payments missed during lifetime of the policy and not on consecutive months):

3.6.2.1 Premium due: 1 January (paid - policy activated);


3.6.2.2 Premium due: 1 February (not paid);
3.6.2.3 Premium due: 1 March (paid) (allocated to February because of missed premium payment);
3.6.2.4 Premium due: 1 April (paid) (allocated to March because of missed premium payment in February)
3.6.2.5 Premium due: 1 May (not paid) (allocated to April because of missed premium payment - now 2 payments in
arears and notice of cancellation will be provided if one further premium is missed)
3.6.2.6 Premium due 1 June (paid) (allocated to May)
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3.6.2.7 Premium due 1 July (not paid) (lapsed immediately as 3 premiums were missed)

3.6.3 This period effectively means that no payment has been made for a period of 90 days in this example. It is
important to note that these missed premiums do not have to be consecutively missed premiums on consecutive
months. Premiums will first be allocated to the outstanding month, so if 3 (three), in total, premium payments are missed
during the lifetime of the policy, the policy will be lapsed.

3.7 Review of Policy


The risk profile of the Principal Insured, as well as the benefits and Premiums are reviewed annually on the Review
Date.

3.8 Reinstatement of Lapsed Policies and applicable Waiting Periods


3.8.1 Where a Policy has been cancelled by the Principal Insured, or lapsed due to non-payment of premiums, a
request to reinstate benefits will be considered by the Insurer. The Insurer reserves the right to either accept or decline
reinstatement of the Principal Insured or any other Insured.

3.8.2 If a reinstatement has been approved, AUL will do so on at least the same terms as the policy that has lapsed and
will not impose a new waiting period under the reinstated policy.

3.8.3 If AUL enters into a new policy with the same Principal Insured within two months after the previous policy has
lapsed due to non-payment, AUL will not impose a new waiting period but will impose a waiting period not exceeding the
unexpired part of the waiting period under the lapsed policy.

3.9 Waiting Periods


3.9.1 Waiting Periods as per the Policy Schedule in Section 2 above will apply unless it has been waived.

3.9.2 The Waiting Periods commence on the Entry Date or the reinstatement date of a previously lapsed policy which
has been reinstated.

3.9.3 The Waiting Period can only be waived in accordance with the conditions and requirements specified in the Policy
Schedule in Section 2 above if the previous policy with the previous insurer was cancelled and the new policy was
issued without interrupted cover, provided that all documentation has been received.

3.9.4 Waiting Periods specified per the Policy Schedule will also apply when benefits are increased. The Waiting
Periods will apply on the increased benefit portion only.

3.9.5 Waiting Periods as specified in the Policy Schedule will apply unless if the following documents can be provided
to prove that the Principal Insured, his/her Dependants and Extended Family members were Insured/s under a Policy
with similar and equal benefits for a period equal to or more than the Waiting Periods implied in the Policy Schedule. To
prove insurance, the following documents will be required:

3.9.5.1 Policy Schedule issued by the previous insurer, listing full details of the Principal Insured and all Dependants and
Extended Family members at the date of termination of the previous policy, as well as any Waiting Periods which still
apply; and
3.9.5.2 Proof of payment indicating that all Premiums due for a period equal to the general Waiting Period applicable to
this Policy as stipulated in the Policy Schedule have been paid.

3.10 General Exclusions


3.10.1 No claim will be admitted in terms of this Policy if the event giving rise to the claim is caused directly or indirectly
by or is in any way attributable to any of the following:

3.10.2 The willing participation by the Principal Insured or such other insured persons under this Policy, in any of the
following:

3.10.1 No claim will be admitted in terms of this Policy if the event giving rise to the claim is caused directly or indirectly
by or is in any way attributable to any of the following:

3.10.2 The willing participation by the Principal Insured or such other insured persons under this Policy, in any of the
following:
3.10.2.1 War, civil or foreign, whether war is declared or not, to the extent where the insured has taken an active part;
Please refer to the definition of "Active War" in par 3.1.
3.10.2.2 military action;
3.10.2.3 Strike, riot, civil commotion or terrorism to the extent that the insured has taken an active part as defined in
Active War definition in par 3.1;
3.10.2.4 insurrection;
3.10.2.5 usurpation of power;
3.10.2.6 martial law; and
3.10.2.7 Nuclear or / Chemical and/or Biological Terrorism attack as defined in par 3.1;.
3.10.2.8 Radioactive contamination, whether arising directly or indirectly;
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Policy Number WLC40017478045 J Mokoena Whole Policy

3.10.3 A disease, epidemic & pandemic;

3.10.4 An Act of Government;

3.10.5 Any act or deed by the Principal Insured deliberately committed in violation of any law as well as any other
insured person under the Policy including but not limited to a minor child, where his/her parent and/or legal guardian
knowingly allows such child to participate in any act which constitutes a violation of any law;

3.10.6 Self-inflicted injury or self-inflicted illness, whether intended or not, or voluntary exposure to danger or obvious
risk of injury. Any injury or disease which is caused partly by the actions or omissions of the insured, but in conjunction
with the action or omission of some other party of some other contributory factor, will fall outside the ambit of the above
exclusion. Subject to par 2.3.

3.11. Correctness of Statement made to the Insurer


3.11.1 The Insurer relies on the truth, completeness and correctness of all statements submitted by the Principal
Insured. If the benefits granted have been obtained through any misrepresentation or concealment, the Policy shall be
void and monies (premiums) paid in respect thereof shall be forfeited to the Insurer.

3.11.2 Should any benefits have been paid out on the basis of the information provided by the Principal Insured to the
Insurer and such information subsequently proves to be incorrect in any material respect, the Insurer shall have the right
to take such steps as may be required to put it in the position it would have been in if the correct information had been
provided in the first instance.

3.12 Fraud
3.12.1 Any Policy accepted shall be void as from the Commencement Date if:

3.12.1 Any Policy accepted shall be void as from the Commencement Date if:
3.12.1.1 Any claim under this Policy is in any respect fraudulent; or
3.12.1.2 Any fraudulent means or devices are used or employed by the Principal Insured or anyone acting on the
Principal Insured's or claimant's behalf, to obtain any benefit under this Policy; or
3.12.1.3 Any event is occasioned by the wilful act of the Principal Insured, or with the Principal Insured's support.

3.13 Surrender Value


This policy has no surrender value.

3.14 Medical Records on Pre-existing conditions


Where Pre-existing conditions are excluded from benefits, it is a condition precedent to the Insurer's liability to pay
Benefits that all medical records, notes and correspondence referring to the subject of a claim or a related Pre-existing
Condition shall be made available to any medical or other advisor appointed by the Insurer and such advisor or advisors
shall, for the purpose of reviewing the claim, be allowed so often as may be deemed necessary to make examination of
the Insured Person or any other record pertaining to the claim.

3.15 New Laws


If, at any time after the Commencement Date, any legislation, rulings or regulations (including any taxation laws)
applying to this Policy, comes into operation, the Insurer shall be entitled to provide the Policyholder with a 31 (thirty-
one) days' prior written notice, to change, amend or alter any terms or conditions of this Policy in order to comply with
such legislation, rulings or regulations (including any tax laws) or otherwise to be placed in the same position it would
have been was it not for the legislation, rulings or regulations becoming applicable.

3.16 General
3.16.1 A Principal Insured may not cede, pledge or otherwise alienate the benefits or the rights to benefits in terms of
their Policy and such benefits shall not be subject to any form of execution or judgment and shall not, on insolvency, or
on surrender form part of the estate of any Principal Insured.

3.16.2 No waiver of rights or latitude or indulgence granted by the Insurer in any instance shall create a precedent or be
construed as a novation of this Policy.

3.16.3 Either party may change its registered address by giving written notice duly delivered to the other party as to the
new address. Until receipt of such amended address, the last notified address shall remain of full force and effect. All
communications in connection with this Policy shall be in writing.

3.16.4 This Policy issued shall be subject to the laws of the Republic of South Africa.

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Policy Number WLC40017478045 J Mokoena Whole Policy

4. DOCUMENTATION TO BE SUBMITTED WITH CLAIMS

4.1All types of death

4.1.1 Claim form, fully completed and legible

4.1.2 A copy of the official death certificate issued by the Department of Home Affairs. If a death certificate is not
provided, confirm date of death on an alternative website, e.g. Home Affairs or Credit bureau

4.1.3 A copy of the deceased's identity document (Green RSA ID document or Passport)

4.1.4 A copy of the claimant's identity document (Green RSA ID document, ID Card or Passport) if the claimant is an
individual.

4.1.5 Unnatural death

4.1.5.1 Fully completed SA Police Report OR


4.1.5.2 Accident report completed and stamped / by the SA Police Report OR
4.1.5.3 Report or letter from a doctor or other professional depending on the specific circumstances.

4.1.6 Bank Statements of the Beneficiary.

4.2 Claims due to retrenchment

4.2.1 Retrenchment letter on company letterhead. The contact details of the company should be clearly legible. The
Date of Notification as defined in this Agreement (Par 3.1) should be clearly indicated on the letter.

4.2.2 Claim form, fully completed and legible

4.2.3 UI 19 form

4.3 Claims due to Permanent Disability

4.3.1 Claim form, fully completed and legible

4.3.2 UI 19 form

4.3.3 Boarding letter indicating Permanent Disability.

4.3.4 Doctor's sick note (Proof of days booked off)

4.4 All types of Credit life claims

4.4.1 Loan statement from inception date till date of claim event.

4.4.2 Signed Credit Agreement between the Insured and the credit institution.

4.4.3 Bank Statements of the Principal Insured

4.4.4 Proof of cancelation or transfer certificate from previous insurer

4.4.5 Proof of payment for the last 6 months' premiums to previous insurer

African Unity reserves the right to change the documentation requirements from time to time or to request
additional documentation where necessary on a case by case basis.

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Policy No WLC40017478045 J Mokoena Statutory Notice

STATUTORY NOTICE TO LONG-TERM INSURANCE POLICYHOLDERS


IMPORTANT - PLEASE READ CAREFULLY
DISCLOSURE AND OTHER LEGAL REQUIREMENTS

(This notice forms part of the Insurance Contract)

As a long-term insurance policyholder, or prospective policyholder, you have the right to the following information:

FINANCIAL ADVISORY AND INTERMEDIARY SERVICES ACT NO. 37 2002 "FAIS ACT"
The FAIS Act requires compliance by Product Suppliers (insurers) and Financial Services Providers (intermediaries or brokers) with
a General Code of Conduct that was introduced to assist you in making informed decisions about the insurance products that you
purchase. It also aims to ensure that your Product Supplier, Underwriting Management Agent (if applicable) and Financial Services
Provider (if applicable) render financial services honestly, fairly, with due skill and diligence and in your interests and the integrity
of the financial services industry.

About the Intermediary


(a) Name, postal address, physical Wonga Online a Juristic Representative of VDB Brokers (Pty) LTD FSP
address and telephone number 51449
Registration Number 2020/940667/07, Non-VAT Vendor
Postal Address: Physical Address:
329 329
Mayfair Mayfair
Oasis Lane Oasis Lane
Century City Century City
7441 Cape Town
7441

Phone 087 231 0222


Fax 086 2355 238
info@triarc.co.za
(b) Legal status and any interest in the Operating as a fully independent company
Insurer
(c) Whether or not in possession of Has Professional Indemnity Insurance
Professional Indemnity Insurance
(d) Detail of how to institute a claim Contact the Underwriting Manager/Administrator as below
(e) Rand amount of fees and commission As per your Insurance Schedule
payable
(f) Written mandate to act on behalf of Has an intermediary agreement with TRIARC (PTY) LTD and/or African
Insurer Unity Life Limited
(g) Income earned by Broker Wonga Online a Juristic Representative of VDB Brokers (Pty) LTD FSP
51449 has not earned more than 30% of its income in the last 12 months
from the insurer
(h) Ownership interest in Insurer Wonga Online a Juristic Representative of VDB Brokers (Pty) LTD FSP
51449 does not own more than 10% of the shares in the insurer.
About the Underwriting Manager
(a) Name, physical address, postal TRIARC (PTY) LTD
address and telephone numbers Registration Number 2012/011172/07, VAT Number 4100275140
FSP Licence No 45009
Physical Address:
122
The Quays
Park Lane
Century City
Cape Town
7441

Phone Business (087) 231 0222

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Policy No WLC40017478045 J Mokoena Statutory Notice

(b) Contact details of compliance Moonstone Information Refinery (Pty) Ltd


department/officer Postal Address: Physical Address:
PO Box 12662 1st Floor
Die Boord Valerida Centre
7599 Piet Retief Street
Stellenbosch
7613

Fax Business (021) 883 8005


Phone Business (021) 883 8000
Phone Hotline (086) 111 3127
(c) Complaints Procedure Please lodge any complaints in writing to one of the contact details above.
(d) Details of how to institute a claim Phone Business (087) 231 0222

In the event of a possible claim you must notify an office of your respective
Insurer/Underwriting Manager/Administrator as per the attached form within
30 days.

In the event of a claim you will be required to supply the following:


- Details of other insurance cover the same event
- Information and proof in support of the claim
- Documents or details of any communication in connection with the claim.

You must make no admission or statement of liability or make any offer


to any third party. Claims resulting from loss, theft or malicious damage
must be reported to the police within 48 hours. You must notify your Insurer/
Underwriting Manager/Administrator immediately you become aware of any
impending prosecution. In the event of a claim you may become responsible
for a first amount payable (excess) in respect of a claim which will be shown
on the schedule under first amount payable or excess.
(e) Conflict of Interest There are no conflicts in terms of the FAIS Act identified at present.
(f) Type of policy involved Life Assurance, Wonga Credit Life Plan
(g) Extent of premium obligations you Your schedule reflects the premiums payable, the due date of payment and
assume as policyholder. the frequency of payment (e.g. monthly or annually). When amendments are
made to the policy new, additional or refund premium may become due and
such amounts may reflect on the schedule. All premiums are inclusive of
Value Added Tax at the prescribed rate. Please refer to the Policy Wording
for full details. We earn a binder fee.
(h) Manner of payment of premium, due Your premiums are payable Monthly.
date of premiums and consequences Should your payment not be honoured, your insurance cover will cease as
of non-payment.
per terms and conditions stated in your policy documents.
About the Insurer
(a) Name, physical address, postal African Unity Life Limited
address and telephone numbers Registration Number 2003/016142/06
Postal Address: Physical Address:
109 Jip de Jager Drive 109 Jip de Jager Drive
Cape Town Springfield Office Park
7530 Cape Town
7530

Phone Business (086) 1234555


(b) Contact details of compliance Phone Business (086) 1234555
department/officer E-mail complaints@africanunity.co.za
(c) Complaints Procedure Please lodge any complaints in writing to one of the contact details above.
Other matters of importance
(a) You must be informed of any material changes to the information provided above.
(b) If the information in the sections above was given verbally, it must be confirmed in writing within 31 days.
(c) If any complaint to the Intermediary or Underwriting Manager or Administrator or Insurer is not resolved to your
satisfaction, you may submit the complaint to the Registrar of Long-Term Insurance (details are given below).
(d) Polygraph or any lie detector test is not obligatory in the event of a claim and the failure thereof may not be the sole
reason for repudiating a claim.
(e) Ensure you have the correct banking details and pay in time to ensure your cover.

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Policy No WLC40017478045 J Mokoena Statutory Notice

(f) The Insurer/Underwriting Manager/Administrator and not the intermediary must give reasons for repudiating your
claim.
(g) Your Insurer/Underwriting Manager/Administrator is required to give you notice of cancellation in terms of your
policy terms and conditions. This is done via your Intermediary who acts on your behalf.
(h) You are entitled to a copy of the policy and our complaints procedure free of charge upon request.
(i) You must check your schedule to ensure that the details are as per your instructions to us.
(j) Incorrect or non-disclosure of relevant facts by you may impact on any claims arising from your contract of
insurance.
(k) If you are not sure about, or do not understand any part of your policy, please contact us at the above address.
Warning
Keep all documents handed to you.
Make note of what is said to you.
Don't be pressurised to buy the product.
Incorrect or non-disclosure by you of relevant facts may influence an Insurer/Underwriting Manager/Administrator on
any claims arising from your contract of insurance.
Particulars of the Long-Term Insurance Ombudsman
Private Bag x45 The Insurance Ombudsman is available to advise you in the event of claim
Claremont 7735 problems which are not satisfactorily resolved by the Insurance Intermediary
and/or the Insurer/Underwriting Manager/Administrator.
Tel: (021) 657 5000
Share Call: (0860) 103 236 E-Mail: info@ombud.co.za
Fax: (021) 674 0951 Web Site: www.ombud.co.za
Particulars of the Registrar of Long-Term Insurance
Financial Sector Conduct Authority If any complaint to the Intermediary or Underwriting Manager or
PO Box 35655 Administrator or Insurer is not resolved to your satisfaction, you may submit
Menlo Park 0102 the complaint to the Registrar of Long-Term Insurance.
Contact Centre: (0800) 203 7220
Email: info@fsca.co.za
Particulars of the FAIS Ombudsman
Postal Address: To complain about the quality of the ombudsman's service, please e-mail
PO Box 74571 hestie@faisombud.co.za. All other matters must be directed to the normal
Lynnwood Ridge 0040 communication channels.
Physical Address:
Kasteel Park Office Park, Orange Building, 2nd Floor, 546 Jachemus Street, Erasmus Kloof, Pretoria 0048
Email: info@faisombud.co.za Tel: +27 12 762 5000 / +27 12 470 9080
Web Site: www.faisombud.co.za Fax: +27 86 764 1422 / +27 12 348 3447

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Policy No WLC40017478045 J Mokoena Statutory Notice

Disclosure and processing of Personal Information


In terms of the Protection of Personal Information Act, 4 of 2013 (POPIA), Personal Information provided and obtained
is mandatory in order to issue this policy and is collected, held and processed to improve the service provided to you
and to provide you with access to our services and products.
We, our authorised agents, advisors, business partners and service providers/contractors may collect Personal
Information from you directly, from your usage of our products and services, from your engagements and interactions
with us or from public sources, shared databases and third parties. Personal Information will not be shared with service
providers that may be abroad unless where necessary or where required under certain conditions and where security
measures are in place to protect the Personal Information.
We may use your information or obtain information about you for the following purposes:
- Underwriting, assessing the risk, determining the premium and the policy terms
- Assessment, investigation and processing of claims
- Credit searches and/or verification of Personal Information
- Claims checks
- Fraud prevention and detection
- Market research, statistical analysis and surveys
- Audit & record keeping purposes
- Verification of your identity
- To comply with an obligation imposed by any law on us.
The Personal Information may also be shared with service providers engaged to process such information on our behalf
or render services to us. We may collect, retain, process and verify your Personal Information, insurance and/or claim
information.
You acknowledge that any Personal Information collected may be stored in a shared database and used for any
decision pertaining to the continuance of this policy or any claim submitted. You acknowledge and understand that any
Personal Information may be given to any insurer or its agent and our authorised agents, advisors, business partners
and service providers / contractors.
You acknowledge that the information may be verified against legally recognised sources or databases.
We will retain the Personal Information for so long as required or entitled by law, after the termination of this policy and
as such, this consent clause will remain in force even after this policy has been terminated. You may request details of
your Personal Information that is held by us and you may also request that any errors be corrected.
You have the right to complain to the Information Regulator, whose contact details are:
Website: http://www.justice.gov.za/inforeg/index.html
Tel: (012) 406 4818
Fax: (086) 500 3351
Email: inforeg@justice.gov.za
Waiver of Rights
The General Code of Conduct stipulates that no financial services provider may request or induce a client in any
manner to waiver any right or benefit conferred on the client by or in terms of any provisions of the said Code or
recognise, accept or act on any such waiver by a client. Any such waiver is null and void.
General
The policy wording and schedule must be read as one document. If you need advice on any aspect of your policy, first
amounts payable (excess), claims procedures, or your responsibility to pay premiums, please contract your intermediary
or your insurer as indicated above.

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