Declaration and signature I confirm that the details I have provided are correct to the best of my knowledge and belief and I agree to notify [insert charity name] of any changes in the information provided. I understand that if I do not provide information and supporting documentation regarding any change in information within 30 days, [insert charity due diligence policy, e.g. We will write to account holder requesting the relevant or additional information / we reserve the right to award the grant on approval from the Board]. Signature of individual or parent/legal guardian if individual under 12 years. _________________________________________________________ Date _____________________ Signature of parent/legal guardian if individual is aged 12-17 years. _________________________________________________________ Date _____________________ Disclaimer Please note that although ACF has tried to ensure all the information is correct, we do not guarantee the accuracy of these pages and any person using information contained in them does so entirely at their own risk. See our website for more information. If you have any doubts about your duties under CRS, please refer to the , seek professional advice, or .
Declaration and signature I confirm that the details I have provided are correct to the best of my knowledge and belief and I agree to notify [insert charity name] of any changes in the information provided. I understand that if I do not provide information and supporting documentation regarding any change in information within 30 days, [insert charity due diligence policy, e.g. We will write to account holder requesting the relevant or additional information / we reserve the right to award the grant on approval from the Board]. Signature of individual or parent/legal guardian if individual under 12 years. _________________________________________________________ Date _____________________ Signature of parent/legal guardian if individual is aged 12-17 years. _________________________________________________________ Date _____________________ Disclaimer Please note that although ACF has tried to ensure all the information is correct, we do not guarantee the accuracy of these pages and any person using information contained in them does so entirely at their own risk. See our website for more information. If you have any doubts about your duties under CRS, please refer to the , seek professional advice, or .
CRS_self-certification_form_individuals_v1.docx