Statistics Act, 1999
R 385
Pension Funds Act, 1956 (Act No 24 of 1956)Board NoticesNotice on the Appointment of a Valuator, 2014AnnexuresAnnexure D : Affidavit by an actuary applying to be recognised as a valuator |
ANNEXURE D
AFFIDAVIT BY AN ACTUARY APPLYING
TO BE RECOGNISED AS A VALUATOR
IN TERMS OF SECTION 1(1) OF THE PENSION FUNDS ACT, 1956
AFFIDAVIT
[CONFIDENTIAL ONCE COMPLETED AND SUBMITTED]
I, the undersigned
[INSERT FULL NAMES]
do hereby make oath and say:
| 1. | I am an adult person resident at [insert full residential address] and I am self-employed / employed by [insert full name of employer] at [insert physical address of employer] (delete whichever is not applicable). |
| 2. | The facts set out in this affidavit are within my personal knowledge and to the best of my belief true and correct. |
| 3. | My identity number is [insert identity number]. |
| 4. | I am a member in good standing of the Actuarial Society of South Africa. |
| 5. | I have never: |
| 5.1 | been convicted, after 27 April 1994, in the Republic of South Africa or elsewhere of theft, forgery or uttering a forged document, perjury, an offence under the Prevention and Combating of Corrupt Activities Act, 2004, an offence under the Prevention of Organised Crime Act, 1998, or any offence involving dishonesty; |
| 5.2 | been convicted of an offence committed after the Constitution of the Republic of South Africa, 1993, took effect and for which I was sentenced to imprisonment without the option of a fine; |
| 5.3 | contravened the provisions of any law, the object of which is the protection of the public against any financial loss, in any material respect; |
| 5.4 | taken part in business practices that were deceitful, prejudicial, or otherwise improper (whether unlawful or not) or which otherwise brought discredit to my methods of conducting business; |
| 5.5 | taken part or been associated with any other business practices, or conduct that casts doubt on my competence and soundness of judgement; or |
| 5.6 | conducted myself in a manner inconsistent with the Code of Professional Conduct, since its publication and as amended from time to time, which is binding on the members of the Actuarial Society of South Africa. |
| 6. | I have not, within a period of five years immediately preceding the date of this affidavit,— |
| 6.1 | been removed from a position of trust; or |
| 6.2 | been found guilty in any criminal proceedings or liable in any civil proceedings by a court of law (whether in the Republic or elsewhere); or by the Actuarial Society of South Africa or any voluntary professional body (whether in the Republic or elsewhere); or by any regulatory or supervisory body (whether in the Republic or elsewhere); or had my authorisation to carry on business refused, suspended or withdrawn by any such body |
on account of an act of dishonesty, fraud, negligence, in breach of a fiduciary duty, incompetence or mismanagement sufficiently serious to impugn my honesty and integrity.
| 7. | I have not at any time prior to the date of this affidavit been disqualified or prohibited by any court of law (whether in the Republic or elsewhere) from taking part in the management of any company or other statutorily created or regulatory body, notwithstanding such disqualification having since been lifted. |
| 8. | My estate has never been sequestrated. If not, the date of sequestration is ... |
| 9. | I have never been a director, or otherwise involved in the senior executive management of a business which at the time was placed under judicial management or compulsory liquidation. If so, I have been rehabilitated on ... (insert date). |
| 10. | I have not been barred from entry into any profession or occupation, or having entered, subsequently been disbarred. |
|
[INITIALS AND SURNAME] |
I certify that this affidavit was signed and sworn to / affirmed (delete whichever is not applicable) before me in my capacity as Commissioner of Oaths at ... (insert place) on this the ... day (insert day) of ... (insert month and year) by the deponent who:
confirmed that he/she (delete which is not applicable):
knows and understands the contents of this affidavit;
has no reservations about taking the oath;
considers the oath as binding on his/her (delete which is not applicable) conscience;
uttered the words "I swear that the contents of this affidavit are true, so help me God" or "I truly affirm that the contents of this affidavit are true" (delete whichever is not applicable).
|
Commissioner of Oaths |
Full names :
Full address :
Area :
Capacity :
