CWSC Signature

PART 4 - DECLARATION AND SIGNATURE

I, the undersigned, do hereby declare that the information provided in this application is correct and accurate to the best of my knowledge. If granted a certificate or approval, I agree to operate in accordance with the rules, procedures and conditions established for CWSC. I understand that a certificate issued for this type of terminal equipment is valid on the condition that the equipment to be used is identical to the one tested or described and that any changes to the name, model or type of equipment approved will require a new application for approval or certification. I also understand that the certificate or approval may be revoked if the terminal equipment is used outside of the scope of approval or has been obtained through the provision of false information or other illegal means.