I, {{ request('name') ?? $application->signature_name }} (name of applicant), (NRIC / Passport No.: {{ request('ic') ?? $application->signature_ic }}) of {{ $application->company->address_1 }}, {{ $application->company->address_2 }}, {{ $application->company->address_3 }}, {{ $application->company->postcode }}, {{ $application->company->city }}, {{ $application->company->state?->name }} (address) do solemnly and sincerely declare that:

1. I am the Director / Managing Director / Chief Executive Officer / Chief Operating Officer / Sole Proprietor / Partner / Owner or the equivalent of {{ $application->company->company_name }} {{ $application->company->address_1 }}, {{ $application->company->address_2 }}, {{ $application->company->address_3 }}, {{ $application->company->postcode }}, {{ $application->company->city }}, {{ $application->company->state?->name }} on behalf of the Company.
2. I hereby declare that the supporting documents and the application with the product(s) / service(s) name (see attachments), submitted by {{ $application->company->company_name }} genuine and complete.
3. I hereby declare that {{ $application->company->company_name }} are absolute accurate, have been lawfully and duly incorporated on {{ $application->company->incorporation_date ? $application->company->incorporation_date->format('d-m-Y') : 'N/A' }} (date of its incorporation), in good standing and validity operating. Furthermore, I hereby guaranteed that:
   1. the company is not wound up
   2. the company affairs are not being administered by a Court of Law
   3. the company is not the subject of proceedings for bankruptcy or an order for compulsory winding up
4. I make this declaration in full knowledge and awareness of Malaysian Green Technology And Climate Change Corporation's reliance on this declaration.
5. I undertake and agree to fully indemnify Malaysian Green Technology And Climate Change Corporation on full and against, including but not limited to, any special punitive, exemplary, incidental and / or consequential damages, whether arising directly and / or indirectly, which may be taken, made against and / or caused to Malaysian Green Technology And Climate Change Corporation by reason of accepting the inaccurate and / or false supporting documents and the application referred to item 2 above.
6. I hereby declare and undertake to have read and fully understood the Product Guidelines / Service Guidelines including the relevant Terms and Conditions for MyHIJAU Mark registration.
7. I hereby declare that I fully agree and understand that the MyHIJAU Mark Certificate will be revoked as a consequence of any breach of the Products Guidelines / Service Guidelines including the relevant Terms and Conditions for MyHIJAU Mark registration.
8. I Hereby undertake to notify and inform Malaysian Green Technology And Climate Change Corporation in the event of any knowledge of events which may lead to revocation of MyHIJAU Mark Certificate.

I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Statutory Declaration Act 1960.

Subscribed and solemnly declared by the abovenamed, {{ request('name') ?? $application->signature_name }} (name of applicant) at {{ $application->company->city }} (town) in the State of / Federal Territory of {{ $application->company->state?->name }} this