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By submitting this form, I declare that I am the authorised representative of this organization and that all the information given in this application are true to the best of my knowledge and belief, and I have not wilfully suppressed any material fact. I understand that any misrepresentation or omissions of information will render me liable to disqualification, or, if approved, for termination.

Please note: Any inaccurate, false or incomplete information will render your organization application invalid.
Persons appointed on the basis of such information may have their accounts terminated.