Welcome to the Moonstone Self-Comply Signup Form

Please complete the form below in order to signup for the Moonstone Self-Comply services.

Service Streams

Please select the required Regulated Industry service stream/s for which you would like to signup

Discounted Fees:

Where both the FAIS & FICA service streams are selected - R 1005 VAT inclusive

I acknowledge that the Self-Comply service is only applicable to FSPs that are not obligated to appoint a Compliance Officer as stipulated in the Financial Advisory and Intermediary Services Act 27 of 2002 ("FAIS")."

Business Details

Please Select your type Of business from the drop downlist below:

*Do not enter any value, if not VAT registered

**Please Do Not enter the 26/10/ before your FSP Number.

Contact Person's Details

Please provide us With the name Of a contact person who will be able To confirm the application For membership And To whom all correspondence will be sent.

Address Details

Bank Details

I accept the terms And/Or conditions Of Moonstone.

If you Do Not understand any one Of the terms And/Or conditions, please enquire With our office On 021 883 8000.

*A copy Of the Terms & Conditions will be emailed To you once the membership application has been processed.

Sign Up Confirmation
  1. Completing an online membership application and accepting the terms and conditions contained therein, as well as any additional terms and conditions available on the website is deemed to be a legally binding contract.
  2. Once a membership application has been processed you are legally obliged to pay the membership fee.
  3. Moonstone Compliance (Pty) Ltd has the legal right, as well as an obligation to its members in good standing to take any and all steps to recover outstanding fees. These steps will include, but are not limited to, employing the services of a debt collector and sharing your information with the credit bureau."
  4. Membership fees must be facilitated by way of a Debit Order. A debit order form will be emailed to you upon accepting the terms"
  5. We wish to bring the following material terms to your attention in accordance with section 49 of the Consumer Protection Act. If you do not understand any one of the terms and/or conditions, please enquire with our office prior to entering into this agreement.
    1. The Compliance Services provided by Moonstone will produce data and other information to be collected, processed and recorded by Moonstone in accordance with the requirements of the legislation ("Client Data").
    2. Notwithstanding anything to the contrary contained herein, all Client Data collected, processed and recorded by Moonstone in the course of the provision of Compliance Services will, subject to the relevant provisions of the legislation, remain the sole property of the Client, and accordingly Moonstone undertakes that it will not at any time without the prior written consent of the Client, whether before or at any time after termination of this agreement, divulge or use, either directly or indirectly, for its own benefit or that of any other person, or entity, any such information, documentation, business methods, systems or knowledge relating to the Client Data which may be communicated to or otherwise acquired by Moonstone or its employees.
    3. Moonstone or its employees shall only use, implement or process such Client Data as is necessary in order to perform its obligations in accordance with the terms of this agreement and to the extent necessary for the purposes of the provision of the Compliance Services and the proper performance of its obligations under this agreement and the legislation.
    4. Moonstone shall at all times comply with the provisions of the Protection of Personal Information Act, and shall put in place, and at all times maintain, appropriate physical and technological measures to ensure the security and confidentiality of Client Data.
    5. Unless so required by law, Moonstone agrees that it shall not disclose any personal information, as defined in the Protection of Personal Information Act, to any third party without the prior written consent of the Client, and notwithstanding anything to the contrary herein contained, Moonstone shall in no manner whatsoever transfer any personal information out of the Republic of South Africa.
    6. At the termination of this agreement, at the election of the Client, Moonstone shall either return to the Client any documentation, including, but not limited to all Confidential Information, or other materials provided to it by the Client (including but not limited to "Client Data") or else confirm destruction of the same in a written statement signed by Moonstone, save for any copies that Moonstone is required to retain in order to comply with any legal obligations. Moonstone agrees that the confidentiality obligations contained in this agreement shall still apply to such documentation or other information after termination of this agreement.

I hereby confirm that I have read the terms and conditions, and have elected to have any terms or conditions which I do not understand, explained to me as required by the Consumer Protection Act. I confirm that I understand the material terms and conditions and that I am bound by them