I hereby declare that:
- I have read this document and know and understand the contents thereof;
- the information furnished above is in all respects both true and correct;
- the currency applied for will only be used for the specific purpose stated herein;
- the documentation presented in support of this application is in all respects authentic;
- I have been informed of the limit applicable to the above transaction and confirm that this limit will not be exceeded as a result of the conclusion of this transaction, and I consent to this information being provided to the South African Revenue Service and/or the Financial Intelligence Centre and/or the Financial Services Board.