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Fillable Printable Proof Of Residence - Declaration Of Family Member

Fillable Printable Proof Of Residence - Declaration Of Family Member

Proof Of Residence - Declaration Of Family Member

Proof Of Residence - Declaration Of Family Member

I, (Undersigned, also the “Family Member”) do hereby solemnly declare
that
(“the Client”) is my
(Family Member to explain nature of relationship) and our relationship can be veried upon presentation
of valid Proof of Identity in the form of
and Proof of Residence in the form of .
Should you require such identication documents from me, I conrm that I am willing to provide
these upon request. I also conrm that the Client resides with me permanently and the following
address
is the primary location for the receipt of all of the Client’s ofcial and government related documentation.
PROOF OF RESIDENCE,
DECLARATION OF FAMILY MEMBER
.............................................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................
Family Member Full Name
Family Member Signature
Client Full Name
Client Signature
Client’s Account Username
Dated
Treppides Tower, 6th Floor Kafkasou 9, Aglantzia P.O.Box 26522 CY2112, Nicosia, Cyprus.
+
357-2-203-0583
+
357-2-223-2242
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