DECLARATION
Please answer the following questions by deleting "YES" or "NO" in the boxes provided. If "Yes", give details in the right hand margin.
1. Have you ever been charged or convicted of any criminal offence by any Court or
detained by the authorities under the provisions of any law in any country? Yes No
(Please give full details even if you were eventually acquitted)
2. Has any bankruptcy action ever been taken against you or any Court judgement / Yes No
order ever been made against you ordering you to pay a debt to someone?