I have read this document and know and understand the contents thereof;
The information furnished throughout this transaction is in all respects both true and correct;
The currency applied for will only be used for the specific purpose stated herein;
The documentation presented in support of this transaction is in all respects authentic;
I have been informed of the limit applicable to this transaction and confirm that this limit will not be exceeded as a result of the conclusion of this transaction; and
I consent to this information being provided to the South African Reserve Bank and/or the Financial Intelligence Centre.