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Participant Application Form


  • I declare that the information given on this form is to the best of my knowledge true and complete.I agree to any Criminal Records Bureau or Police checks which may be required as part of Intercordia procedures.  

    I agree that the information provided in this application form may be processed by Intercordia in relation to my application in order to assist in the decision making process. I further expressly agree that, should it be necessary to validate any of the information provided therin, Intercordia may release the information for verification purposes. If I am successful in my application, it is agreed that any information provided will be retained by Intercordia in a secure and confidential file, and the contents used only for necessary business purposes, subject to my express consent for disclosure where necessary.
 

Verification