Declaration of the Sole Shareholder

COMPANY LETTERHEAD

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

DATE

{{date}}

DECLARATION OF THE SOLE SHAREHOLDER

I, the undersigned, {{shareholder_name}}, residing at {{shareholder_address}}, holding South African Identity Number {{sa_id_number}}, do hereby declare under oath as follows:

1. COMPANY DETAILS

1.1 I am the sole shareholder of {{company_name}}, a private company duly incorporated and registered in accordance with the company laws of the Republic of South Africa, with registration number {{company_registration_number}} (hereinafter referred to as “the Company”).

1.2 The registered address of the Company is {{company_registered_address}}.

2. SHAREHOLDING

2.1 I am the registered and beneficial owner of 100% (one hundred percent) of the issued share capital of the Company.

2.2 The issued share capital of the Company consists of {{number_of_shares}} ordinary shares, each with a par value of ZAR {{par_value_per_share}}.

2.3 All shares held by me are fully paid up and non-assessable.

3. PURPOSE OF DECLARATION

3.1 This declaration is made for the purpose of confirming my sole shareholding in the Company to relevant third parties, including but not limited to financial institutions, regulatory bodies, and potential business partners.

3.2 I understand that this declaration may be relied upon as true and accurate in all respects.

4. WARRANTIES AND INDEMNITIES

4.1 I warrant that I have the full legal capacity and authority to make this declaration.

4.2 I indemnify and hold harmless the Company and any relying third party against any loss, damage, or expense arising from any misrepresentation or inaccuracy in this declaration.

5. GOVERNING LAW

5.1 This declaration shall be governed by and construed in accordance with the laws of the Republic of South Africa.

SIGNED AT {{city}} ON THIS {{day}} DAY OF {{month}} {{year}}.

SIGNATURE BLOCK

_________________________

{{shareholder_name}}

Sole Shareholder

WITNESSES:

1. _________________________

Name: {{witness_1_name}}

ID Number: {{witness_1_id_number}}

2. _________________________

Name: {{witness_2_name}}

ID Number: {{witness_2_id_number}}