I declare that the information provided is, to the best of my understanding and knowledge, complete and correct. I understand that Disability Inclusion For Community Empowerment (DICE) may perform random checks on the information I have provided, and I may be asked to provide evidence to verify the information in this form. I am aware that there are severe penalties for providing false or misleading information. I understand and acknowledge that there may be a need for the company to share my information with a third party, such as agencies, social medias, government bodies etc. I give my permission for the company to supply any relevant official records and my personal information when it is required for the delivery of services by Disability Inclusion For Community Empowerment (DICE).
