Applicant Declaration Form

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Declaration Form by the Applicant

I hereby declare that I have read the instruction carefully and I have submitted all documents according to HAAD
requirements.

I will be responsible for any delay that may incur if I submit an incomplete application or re-submit any documents at a
later stage.

I understand that completing the verification process does not guarantee obtaining a license if I do not meet HAAD
criteria.

Personal Details:
Full Name

___________________
Signature

: _____________________________________________________________________________________
(First Name)
(Middle Name)
(Last Name)

___________________
Date (dd/mm/yyyy)

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