Reg. No. 2000/000068/07 KBC Centre Ground Floor, Island House, Constantia Office Park Cnr 14th Ave & Hendrik Potgieter Rd Weltevreden Park, 1709 P O Box 6320, Weltevreden Park, 1715 Tel: (011) 675-3722, Fax: (011) 675-3721 Email: johannesburg@kbconsulting.co.za http://www.kbconsulting.co.za DIRECTORS: T Scurr (Chairman), GM Emmett (Managing), NB Hartman, MA Van Zyl, SN Whitehead Branches: BECSA, JHB South, Lebowa, Mokopane, Nelspruit, Northam, Polokwane, Richards Bay, Rustenburg, Sasolburg, Secunda, Springs, Steelpoort, Twickenham, Vanderbijlpark, Weltevreden Park, Weskus, Witbank (Date) To (Employee) APPLICATION FOR STUDY LOAN We hereby acknowledge receipt of your application for a study loan to study with (institution). Financial assistance to study (course/ diploma/ degree) will be granted under the following conditions: 1) KBC will pay 100% of your tuition fee (value) on registration to study (course) (proof of registration must be submitted to the Finance Department). 2) Should you fail to complete the course you will be liable to pay back 100% of the tuition fee (value), paid by KBC Health and Safety. 3) Should you decide to leave the employ of KBC Health and Safety within (1 month for every R 500 paid) of completing your studies, you will be liable to pay back the full amount paid by KBC Health and Safety in respect of the studies undertaken through (institution). We would like to take this opportunity to wish you all the best, and undertake to assist you in making a success of your studies. Regards, Ryan Tzamtzis Human Resources Consultant