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Appendix 3 PRADHAN MANTRA JEEVAN KYOTO LIMA JANA CONSENTCUMDECLARATION FORM (To be filled in by members joining the scheme during the permitted Enrollment Period) For Office Use Agent/BC's Name* Agency/BC

How to fill out cum declaration form

How to fill out a consent-cum declaration form:

1. Start by carefully reading the instructions provided on the form. Make sure you understand the purpose and requirements of the form.
2. Begin by filling in your personal information such as your name, address, contact details, and any other required identification information.
3. Follow the instructions for providing your consent or declaration. This may involve ticking boxes, signing, or providing a written statement.
4. If there are specific sections or questions on the form, answer them accurately and clearly. Provide any necessary supporting documentation or information as requested.
5. Double-check all the information you have provided to ensure its accuracy before submitting the form. Mistakes or missing information may result in delays or rejection of your application.
6. If required, obtain any necessary signatures or endorsements from witnesses or authorized individuals. Ensure that they provide their full name, contact details, and any other requested information.
7. Review the completed form once again to ensure you have answered all the required sections and provided all necessary supporting documents.
8. Finally, submit the form as per the instructions provided. This may involve mailing it to a specific address, submitting it online, or handing it in person at a designated office.

Who needs a consent-cum declaration form:

1. Individuals involved in legal matters, such as contracts, agreements, or legal procedures, may be required to complete a consent-cum declaration form. This ensures that all parties involved provide their informed consent or declaration regarding the matter at hand.
2. Organizations or institutions that handle personal data, such as hospitals, educational institutions, or research facilities, may require individuals to complete a consent-cum declaration form before collecting, using, or disclosing their personal information.
3. Some government agencies or departments may also require individuals to fill out consent-cum declaration forms for certain purposes or activities, such as applying for permits or licenses or participating in specific programs.
4. It is important to consult the specific guidelines or requirements of the relevant authority or organization to determine whether a consent-cum declaration form is necessary in a particular situation.

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What is consent -cum declaration form?

The consent -cum declaration form is a document that combines consent and declaration into one form, typically used to obtain permission and make a statement at the same time.

Who is required to file consent -cum declaration form?

Individuals or entities that are required by law or regulation to provide their consent or make a declaration may need to file a consent -cum declaration form.

How to fill out consent -cum declaration form?

To fill out a consent -cum declaration form, one must provide the required information, sign and date the form to indicate their consent and agreement with the declaration.

What is the purpose of consent -cum declaration form?

The purpose of the consent -cum declaration form is to formalize and document the consent given by an individual or entity, as well as to make a statement or declaration in a legally binding manner.

What information must be reported on consent -cum declaration form?

The information required on a consent -cum declaration form may vary depending on the specific context or purpose of the form, but typically includes personal or entity details, the nature of consent or declaration, and signatures.