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Appendix 3 Consent come Declaration Form To be filled in by members joining the scheme on or after 1st June 2016 For Office Use only Agent / Business Correspondents Name* Agency / BC Code No.* Details
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How to Fill Out Consent Cum Declaration Form:

01
Start by carefully reading through the form to understand all the fields and requirements.
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Begin with providing your personal information such as your full name, address, contact details, and any other requested information.
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Next, indicate the purpose of the consent cum declaration form. This could be related to medical treatment, participation in an event, or any other specific reason.
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Fill in any additional details required for the specific purpose of the form. For example, if it is related to medical treatment, you may need to provide information about allergies, medical history, or any ongoing medications.
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Read and understand the declarations listed on the form. These declarations usually state that you provide your consent willingly and that you have provided accurate information.
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Consent cum declaration form is a document that combines both consent and declaration from an individual or entity.
Any individual or entity required by law or regulation to provide consent and make a declaration may be required to file the form.
The form is usually filled out by providing personal or entity information, signing to consent to certain actions, and making a formal declaration.
The purpose of the form is to ensure compliance with legal requirements, obtain consent for specific actions, and make a formal declaration of intentions or commitments.
The form may require personal or entity details, consent to certain actions, and a declaration of intentions or commitments.
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