Part F: Signature and Declaration

You can only complete this section if you: are the applicant, have parental responsibility for the applicant (under 18 years of age), have legal authority to act for the applicant, and have provided evidence in Part D.

By signing this document:
– I certify that the information I have provided is true and correct.
– I understand that giving false or misleading information is a serious offence.
– I consent to the NDIA collecting, using and disclosing my information if indicated in Part B.

1. Applicant or representative’s signature
2. Your full name:
3. Date (DD/MM/YYYY):