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(text modified on 15.10.04; 01.01.17; 01.01.18; 01.10.18) 

## Back (Part II) 

1.1.023 1. I hereby declare that I am aware of no reason why I should not be granted the requested licence. 

I undertake to spontaneously return my licence in the event of any substantial change to the circumstances existing at the time of the application for a licence. 

I declare that I have not applied for a licence for the same year to the UCI or to any other national federation. 

I assume exclusive liability for this application and for the use that I shall make of the licence. 

