Elland Road Capital PTY LTD Client Complaint Form

Part I. Client Details

Fields marked with an asterisk (*) are mandatory.

Part II. Complaint Details

*Please provide below the name(s) of the contact person(s) of Elland Road Capital PTY LTD at the time of your complaint:

*Please provide a Summary of your complaint in the space provided below. Please try to justify the disputed amount and/or include details that will facilitate the Company in investigating your complaint.

Please attach together with this form any supporting evidence to your claim that will facilitate the Company's investigation of your complaint. Supporting evidence may consist of any documentation (screenshots, chats, phone records etc) relevant to the complaint.

*I hereby certify and confirm that to the best of my knowledge, the information furnished above is true, accurate, correct and complete.

I acknowledge that Elland Road Capital LTD will give proper notification about my complaint within five (5) days from the receipt of my complaint and provide me with a unique reference number. The unique reference number should be used in all your future contact with the Company, the Financial Ombudsman and/or FSCA of South Africa regarding the specific complaint. We shall make every effort to investigate your complaint and provide you with the outcome of our investigation within 6 weeks from today. In case additional information is required, you shall be contacted by one of our officers. Please note that in order to expedite the investigation we require/request your full cooperation. Please refer to the “Complaint Info'' page for further details on the issue. *