Page 11 - KDM Realty Ltd

COMPANY’S DECLARATION

I/we cerify that the information given is correct, and understand that disqualification will result from-

false/incomplete disclosure of information requested herein. I/We hereby authorize your organisation
to check with all financial and trade references and all parties named herein. I/We also authorize all

references and parties named to provide your organisation with all confidential information necessary
to verify all information supplied herein.

NAME:
(BLOCK LETTERS)

POSITION IN COMPANY:

SIGNATURE: DATE:

(COMPANY STAMP)