I, the undersigned, hereby declare that to the best of my knowledge, information, and belief, the contents of this form and any attachments provided with it are true, accurate, and not misleading.
I also authorize the QFC to conduct inquiries and obtain further information as it deems necessary to verify the information provided in Part 2 of the Self-Evaluation Form for the purpose of conducting due diligence and background checks. I understand that the findings of these checks may be disclosed to the person who submitted this application.