By entering my name and signature, I declare that I have read and understood the above information. I declare the information provided is true and correct in every particular and that I undertake to inform Generent Pty Ltd of any changes within two business days of being provided the correct information. In the case that any of the above information is found to be false, untrue, misleading, or deceiving I am aware that I or my Director/s, Partner/s, and/or Proprietor/s may be held legally liable.