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Candidate: Statement of Fact

In this document, a candidate declares that during specific periods of time outlined in a table they were engaged only in legal activities and nothing that would preclude them from being engaged by the entity. The candidate acknowledges the entity will rely on the accuracy of the information provided and that it does not supersede any other declarations made as part of the application process. The candidate confirms the statement is true to the best of their knowledge.

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103 views2 pages

Candidate: Statement of Fact

In this document, a candidate declares that during specific periods of time outlined in a table they were engaged only in legal activities and nothing that would preclude them from being engaged by the entity. The candidate acknowledges the entity will rely on the accuracy of the information provided and that it does not supersede any other declarations made as part of the application process. The candidate confirms the statement is true to the best of their knowledge.

Uploaded by

rjshrd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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DATE:……………………………..

Candidate: Statement of Fact

I _____________________ [Candidate Name] of ____________________________________________


_______________________ [Address], born on __ __ / __ __ / _____ hereby declare that during the
periods outlined below I was engaged the activities stated:

Date From Date To Activity:


(mm/yy) (mm/yy)

I hereby declare that during these periods I was not involved in any illegal activities (not including
minor motoring offences) or any activities which would preclude < ENTITY NAME> from engaging me in
service.

I acknowledge and understand that any engagement with [client name] is conditional upon the
information I have given in this declaration being accurate and true and that <Entity Name> will rely
upon the information I have given in this declaration in engaging me in service. Furthermore I
understand and agree that this declaration does not supersede any other declaration made by me in
relation to my application with <Entity>, including that made on my application form.

I hereby confirm that the information contained in this declaration is true and complete to the best of
my knowledge.

I confirm that this statement is true to the best of my knowledge, information, and belief.

Signed by: __________________________________

Dated: _____________________________________

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