FORM 16 - APPLICATION BY CONSUMER FOR DEBT REVIEW Andrew Stewart Brew Johnston 30 Keerom Street CBD CAPE TOWN 8001 Telephone: *** Fax: NATIONAL CREDIT ACT, ACT 34 OF 2005 Name: Registration Number: DEBT COUNSELLOR INFORMATION Email Address: Address

This company put me under administration against my will after making enquiry about their services, they requested my details which i provided to check if i qualify for administration and said to me i needed to fill in the form before they can check if i qualify on the process later within 12hours i phone one of the consultant (Sinethemba is his name ) not to procced with the enquiry, and later i received email saying that enquiry is canceled and must pay cancelation fee of R300 which i did, but i should know that i will remain under administration for service that they did not provide and according to my knowledge i do not have contract with them, i have learned that my name is listed in credit bearer from my financial institution that my name if flagging in the report, and now cant get any credit i need help to be removed from the list.