SCHEDULE A

FORM E

Prepared by me

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

(Signature)

CONVEYANCER

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

(State surname and initials in block letters.)

SURETY BOND NO SMB ..............................

WHEREAS

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

appeared before me, .......................................................................................................................

the official designated by the Director-General: Minerals and Energy and the said appearer, duly authorised thereto by a power of attorney which power of attorney was signed at ………….........................………….  on the ..................... day of .............................. 20 ….....  and is filed in this office.

AND the said appearer declared that

WHEREAS (here describe the principal debtor) …................................................................., is truly and lawfully indebted in the sum of R. .......................... (amount to be given in words as well) together with the sum of R. ............................. (amount to be given in words as well) as a preferent charge for costs and other matters to and on behalf of  ....................................... (describe the mortgagee) arising from and being (here describe the cause of debt) ............................................. as security for which indebtedness the said principal debtor has registered mortgage bond No ……………… dated .......................... 20 …………………. in the Deeds Registry/ Mineral and Petroleum Titles Registration Office at ………………………………….. over the right thereby especially hypothecated.

AND WHEREAS the said ............................................. has agreed to bind himself or herself as surety and co-principal debtor for the due payment of the aforesaid sum and interest thereon and for the compliance with all the terms and conditions of the aforesaid principal bond, mortgaging as security for the fulfilment of the said obligations the hereinafter-mentioned right.

NOW THEREFORE, the appearer declared his or her principal, the said ..........................................., to be truly and lawfully indebted and held and firmly bound to and on behalf of ………………………………. in the sum of R..................... (amount to be given in words as well) arising from the considerations aforementioned under renunciation of the legal exceptions ……………………………. with the force and effect whereof he declared his principal to be fully acquainted together with the sum of R................................ (amount to be given in words as well) as a preferent charge for costs and other matters as more fully set out in the said principal bond.

AND the appearer hereby bound his principal to pay or cause to be paid to the mortgagee or other holder of this bond, his heirs, executors, administrators or assigns, the said principal sum of R.................................. (amount to be given in words as well) together with such interest as may from time to time become due and payable thereon in  terms of the principal bond, and for the proper performance of the terms thereof the appearer q.q. declared to bind specially as a ............................................ mortgage,  (describe the right)

AND the appearer q.q. declared it to be a special condition to this bond that should the principal debtor fulfill all his or her obligations under the said  principal bond by payment of all the sums due thereon by way of capital and interest and comply further with all the terms and conditions of the aforesaid bond this bond shall become null and void.

IN WITNESS WHEREOF I, the said Official, together with the appearer, have subscribed to these presents, have caused the seal of office to be affixed thereto.

Signed, executed and sealed at the MINERAL AND PETROLEUM TITLES REGISTRATION OFFICE at PRETORIA on this .................................................. day of ........................................ 20

In my presence,

DIRECTOR-GENERAL: MINERALS AND ENERGY.

Registered on the above date in the Register of Bonds under No ...................