SCHEDULE A

FORM F

Prepared by me

.........................................................

(Signature)

CONVEYANCER

.........................................................

(State surname and initials in block letters.)

(Consent to cancellation, part-payment, reduction of cover, release, cession, cancellation of cession of bonds)

CONSENT

I ............................................................................ the undersigned, being the legal holder of a mortgage bond particulars of which are as follows:

Bond No ...............................................................

Dated ...................................................................

Passed by .............................................................

In favour of ...........................................................

For the sum of R ....................................................

And ceded to .........................................................

By cession registered on ........................................

Do hereby consent to .........................................................................................................

dated at ................................. this .............day of ................................... 20 ......................

..............................................................................

SIGNATURE OF LEGAL HOLDER

AS WITNESSES:

1.        ..................................................................

2.        ..................................................................