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Oecd. org/tax/automatic-exchange/common-reporting-standard FATCA https //www.irs.gov/businesses/corporations/foreign-account-tax-compliance-act-fatca EU DAC 2 http //ec.europa.eu/taxationcustoms/taxation/taxcooperation/mutualassistance/directtaxdirective/indexen.htm 2 For Citco use only - C T Individual ViewPoint Number - CB Account Number GRP-Ind. The Citco Group Limited and the Citco group of companies are legally distinct and separate entities. Print name of signer Complete Information...

How to fill out this self-certification form is

How to fill out this self-certification form:

1. Start by carefully reading the instructions provided on the self-certification form. Make sure you understand each section and the information required.
2. Begin by providing your personal details such as your full name, contact information, and any identification numbers required.
3. Move on to the purpose of the self-certification form. Clearly state the reason for filling out the form, whether it is for medical purposes, employment, or any other specific reason.
4. Next, provide accurate and detailed information about your medical condition or situation, if applicable. Include any relevant medical history, current symptoms, or treatments you are undergoing. Make sure to attach any supporting documentation, such as medical reports or test results, if required.
5. If the self-certification form contains a section for providing declarations or statements, carefully review each statement and mark the appropriate response.
6. Ensure that you provide any additional information or details requested in the form. Be thorough and honest in your responses.
7. Finally, carefully review your completed form to ensure that all sections have been filled out accurately and completely. Double-check for any errors or missing information before submitting the form.

Who needs this self-certification form:

1. Individuals applying for medical leave or requesting a medical certificate may need to fill out this self-certification form to provide detailed information about their medical condition to their employers or relevant authorities. This helps in the assessment of their eligibility for medical leave or benefits.
2. Employees who have been involved in a workplace accident or have sustained an injury may require this self-certification form as part of their workers' compensation claim. It allows them to document and provide necessary information about their injury, medical treatment, and other related details.
3. Individuals seeking clearance for participation in certain activities or events, such as sports or recreational programs, may need to fill out this self-certification form to declare their fitness and confirm that they do not have any pre-existing medical conditions that could pose a risk to themselves or others.

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