DECLARATION I certify that the statements made in this application are true, correct and complete to the best of my Knowledge. I understand and agree that my failure to disclose pertinent information material to an assessment of my trustworthiness, integrity or character may result in termination of employment if hired. I understand that the data captured on the form is a regulatory requirement for the Company. I understand and agree that Republic Bank Limited will conduct its own investigations into my personal background and references and I consent to this being done in the manner that the Bank deems appropriate/necessary. I understand and agree that, should employment be offered to and accepted by me, the Bank reserves the right to conduct such checks at any time during my tenure. It is understood and agreed upon by me that the bank will carry out this investigation in a professional manner, and that information received will not be shared with others and will be used solely for the purpose of determining suitability for employment and placement.