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"I DECLARE THAT THE INFORMATION CONTAINED IN THIS FORM IS TRUE, COMPLETE AND PROPORTIONATE. RELIABLE AND UP-TO-DATE INFORMATION ON ALL ASPECTS ON WHICH QUESTIONS HAVE BEEN ASKED."

The applicant hereby declares that they:

Have not been involved in, convicted of, or are currently under investigation anywhere in the world for offenses related to the production, trafficking, or consumption of drugs; or any other crime associated with drugs; additionally, they have not been involved in or convicted of money laundering.

Confirm that they have performed and verified the due diligence evidence for all beneficial owners, attorneys, beneficiaries, directors, officers, and signatories of the services required by INTEGRA, and agree to provide any additional information and/or documentation requested by INTEGRA.

Solemnly declare, under penalty of perjury, that this statement has been thoroughly examined and, to the best of their knowledge and belief, is true, correct, and complete.
By submitting this statement, the applicant acknowledges their understanding of the legal implications and potential consequences of providing false or misleading information.