I hereby confirm that the information I have provided on this application form is (to the best of my knowledge) true, accurate, current and complete; and I agree to notify VDPCK promptly if any information contained on this application form should change, in order to keep it true, current and complete.
I hereby declare that I shall be disciplined and shall adhere to all the rules and regulations of VDPCK. I have read and fully understood the terms and conditions” given overleaf before filling in the
application form and unconditionally accept them all binding on me.
I hereby undertake to pay all charges raised on account of services availed.
agree to all terms and conditions