I hereby certify that the information given is true and complete to the best of my knowledge.

If false, please provide a description of gift received. Please indicate if Not applicable. 

I have not received a gift valued more than R1000 from a supplier, associate, contractor, or any other party with whom PPS has business dealings.

Please describe below any relationships, transactions, positions you hold (volunteer or otherwise), private employment or circumstances that you believe could contribute to a conflict of interest. If none, please indicate. 

I have NO conflict of interest to report.

The subject of any matters referred to in questions 1, 2, 3, 4, 5, 6, 7, 8, 10, 11, 12, 13, 15 Placed in liquidation or business rescue

Have you ever knowingly been untruthful or provided false information to the Registrar or a regulatory authority?

Have you ever demonstrated a lack of readiness or willingness to comply with legal, regulatory or professional requirements and standards?

Have you ever breached a fiduciary duty?

Have you ever been the subject of frequent or material preventative, remedial or enforcement actions by the registrar or a regulatory authority?